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Date ArticleType
10/3/2016 Payment/Reimbursement
Indiana Medicaid Rate Update – 7/1/16 Rate Effective Date

On September 30, 2016, the Indiana Medicaid office issued approximately 279 rate letters to Indiana nursing facilities for setting their July 1, 2016 rate.  This is the first rate to be issued under the RUGs IV 48 Grouper, a change from the RUGs III 34 Grouper. The Direct Care Median issued in this rate is $78.83. Last year, using data for the 7/1/15 rate effective date, Myers & Stauffer had estimated that the Direct Care Median would be $77.88 at that time.

Remaining rate letters will be sent out once Indiana Medicaid and its contractor receive responses to requests for additional information from providers.  This process usually takes approximately 45 days to complete, so rates for just about the other half of Medicaid providers won’t be set until November.