The Centers for Medicare and Medicaid Services (CMS) approved the Commonwealth of Pennsylvania's request to implement a Pennsylvania Nursing Facility Assessment Program, which was authorized by the Pennsylvania General Assembly in September, 2003. The General Assembly authorized the Department of Human Services (DHS) to collect this assessment from all non-governmental licensed nursing facilities. The revenue from this assessment will be used to maintain Medical Assistance (MA) rates and provide additional reimbursement to MA participating nursing facilities.
As part of the assessment program, each non-exempt nursing facility must submit a report of specific resident days for each reporting quarter. The reported days will include the following: Pennsylvania (PA) MA facility and therapeutic leave days, PA MA hospital reserve days, PA MA managed care days, PA MA hospice days, Long Term Care Capitated Assistance Program (LTCCAP) days, PA MA pending days, other states' MA days, private pay days, and Medicare days.
Nursing facilities should be prepared to provide information regarding the licensed bed size at the end of each quarter and whether the facility participated as a Continuing Care Retirement Community on the last day of the reporting quarter. Nursing facilities submit this information for each quarter using The Pennsylvania Nursing Facility Submission System located at http://www.panfsubmit.com
Questions about the assessment program should be submitted to the Bureau of Finance, Division of Rate Setting and Auditing, NH Assessment Unit at (717) 787-1171.
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