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Date ArticleType
1/3/2017 Payment/Reimbursement
Indiana Medicaid Issues Memo on Managed Care Days in UPL Calculation

On December 30, 2016, Indiana Medicaid issued this memorandum regarding Medicaid Managed Care Days and how those days impact the Upper Payment Limit (UPL) supplemental payment calculation.  The memo changes the way Indiana Medicaid will back out MMC days from the UPL calculation.  The State Fiscal Year (SFY) 2017 UPL final payment used claims data to back-out MMC days from the final UPL settle-up payments.  Some providers have reported incorrect calculations based on errors in that claims data.  This memo will change the SFY 2018 UPL final payment process by using new data that will be required on Schedule I of the cost report.  The new Schedule I has not yet been released.

Please review this memorandum carefully.