Pennsylvania Nursing Facility Assessment

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.

Important Dates

Final Public Notice - FYs 2003-2004 and 2004-2005

Final Public Notice - FY 2005-2006

Final Public Notice - FY 2006-2007

Final Public Notice - FY 2007-2008

Final Public Notice - FY 2008-2009

Final Public Notice - FY 2009-2010

Final Public Notice - FY 2010-2011

Final Public Notice - FY 2011-2012

Final Public Notice - FY 2012-2013

Final Public Notice - FY 2013-2014

Final Public Notice - FY 2014-2015

Final Public Notice - FY 2015-2016

Final Public Notice - FY 2016-2017

Dear Administrator Letter - March 9, 2005

Nursing Facility Assessment End User Manual (Updated 10/20/2016)

Signature On File Form

More information is available under the "Related Topics" section.