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Myers and Stauffer LC, is the long-term care rate-setting contractor that sets the IHCP rates for nursing
facilities, hospices, home health agencies and group homes. Hospice providers can obtain current rate
information for a particular nursing facility by accessing the Myers and Stauffer's long-term care Web Site as follows:
- Access the Myers and Stauffer Web Site at www.mslcindy.com.
- Click the Long Term Care button located on the left.
- Click the Unsecured Listing button.
- Click the Other Reports folder get a listing of available reports.
- From the list of reports, click Cumulative Rate Listing.
- You will then be presented with a report listing Medicaid rates for all Medicaid-certified nursing facilities.
Medicaid rates are updated within 24 hours of the finalization.
The Cumulative Rate Listing contains Medicaid rates for all Medicaid-certified nursing facilities.
Medicaid rates are updated within 24 hours of the finalization. The annual hospice rates are effective
October 1 of each year through September 30, and are listed within the
November IHCP Newsletter.
Weekly enrollment in the IHCP hospice benefit reflects that 75% to 80% of individuals enrolled in the IHCP
hospice benefit reside in nursing facilities. The majority of these individuals residing in nursing
facilities are dually-eligible Medicare/IHCP hospice members for whom Medicare pays for the hospice services
and for whom the IHCP is responsible for paying for the room and board for these individuals under the IHCP
hospice benefit as outlined in
405 IAC 1-16-4. For IHCP-only members residing in nursing facilities, the IHCP will pay the hospice
provider the hospice per diem and the room and board add-on as outlined in
405 IAC 1-16-4.
Hospice providers are paid 95% of the nursing facility case mix rate on file when billing the IHCP for room
and board under the hospice benefit using hospice revenue codes 653, 654 and 659. IHCP will pay the
hospice provider 95% of the lowest nursing facility rate so that the hospice provider may then reimburse the
nursing facility according to their contract.
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