S.F. 2258 Section 1. NURSING FACILITY MEDICAID REIMBURSEMENT RATE 1 RELEASE. Notwithstanding any provision of law to the contrary, 2 the department of human services may release nursing facility 3 rates prior to receiving approval of a state plan amendment 4 from the centers for Medicare and Medicaid services of the 5 United States department of health and human services (CMS) 6 to reduce retrospective rate processing. The department may 7 retroactively adjust or modify nursing facility rates released 8 prior to receipt of federal approval and may retroactively 9 reconcile payments based on such rates as necessary to reflect 10 any differences between the rates submitted and the rates 11 actually approved by CMS and to align the rates with available 12 funding. 13 EXPLANATION 14 The inclusion of this explanation does not constitute agreement with 15 the explanation’s substance by the members of the general assembly. 16 This bill authorizes the department of human services (DHS) 17 to release nursing facility rates prior to receiving approval 18 of a state plan amendment from the centers for Medicare and 19 Medicaid services of the United States department of health and 20 human services (CMS) to reduce retrospective rate processing. 21 The bill also authorizes DHS to retroactively adjust nursing 22 facility rates released prior to receipt of federal approval 23 and to retroactively reconcile payments based on such rates 24 as necessary to reflect any differences between the rates 25 submitted and the rates actually approved by CMS and to align 26 the rates with available funding. 27 -1- LSB 5422XS (1) 89 pf/rh 1/ 1