DOH Updates Medicaid Benchmark Rates

Carl J. Pucci in Finance & Reimbursement

DOH has updated the Medicaid Benchmark rate link on its website to reflect the initial 1/1/15 rates for both Medicare eligible and non-Medicare eligible residents.

The update includes a restructuring of the various nursing home rate components, which now conform to a facilities Medicaid rate sheet and also add the Quality Pool and Cash Receipts Assessment per diem add-on’s to arrive at an all-inclusive benchmark rate.  NYSHFA has advocated for these changes to better define a comprehensive benchmark rate in advance of provider negotiations with managed care plans.


Carl J. Pucci
Director, Finance & Reimbursement
518-462-4800 x36