Florida's Model of Nursing Home Medicaid Reimbursement for Disaster-Related Expenses
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| Title: | Florida's Model of Nursing Home Medicaid Reimbursement for Disaster-Related Expenses |
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| Language: | English |
| Authors: | Thomas, Kali S., Hyer, Kathryn, Brown, Lisa M., Polivka-West, LuMarie, Branch, Laurence G. |
| Source: | Gerontologist. Apr 2010 50(2):263-270. |
| Availability: | Oxford University Press. Great Clarendon Street, Oxford, OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://gerontologist.oxfordjournals.org |
| Peer Reviewed: | Y |
| Page Count: | 8 |
| Publication Date: | 2010 |
| Document Type: | Journal Articles Reports - Evaluative |
| Descriptors: | Expenditures, Natural Disasters, Nursing Homes, Health Facilities, Costs, Health Services, Federal Programs, State Federal Aid, Eligibility, Low Income Groups, Disabilities, Models, Weather |
| Geographic Terms: | Florida |
| DOI: | 10.1093/geront/gnp132 |
| ISSN: | 0016-9013 |
| Abstract: | Purpose: This study describes Florida's model of Medicaid nursing home (NH) reimbursement to compensate NHs for disaster-related expenses incurred as a result of 8 hurricanes within a 2-year period. This Florida model can serve as a demonstration for a national model for disaster-related reimbursement. Design and Methods: Florida reimburses NHs for approved disaster-related costs through hurricane interim rate requests (IRRs). The state developed its unique Medicaid per diem rate temporary add-on by adapting its standard rate-setting reimbursement methodology. To understand the payment mechanisms and the costs that facilities incurred as a result of natural disasters, we examined the IRRs and cost reports for facilities requesting and receiving reimbursement. Results: Cost reports and IRR applications indicated that Florida Medicaid spent close to $16 million to pay for hurricane-related costs to NHs. Implications: Without Florida's Hurricane IRR program, many facilities would have not been reimbursed for their hurricane-related costs. Florida's model is one that Medicare and other states should consider adopting to ensure that NHs receive adequate reimbursement for disaster-related expenses, including tornadoes, earthquakes, floods, blizzards, and other catastrophic events. |
| Abstractor: | As Provided |
| Entry Date: | 2010 |
| Accession Number: | EJ876654 |
| Database: | ERIC |
| Abstract: | Purpose: This study describes Florida's model of Medicaid nursing home (NH) reimbursement to compensate NHs for disaster-related expenses incurred as a result of 8 hurricanes within a 2-year period. This Florida model can serve as a demonstration for a national model for disaster-related reimbursement. Design and Methods: Florida reimburses NHs for approved disaster-related costs through hurricane interim rate requests (IRRs). The state developed its unique Medicaid per diem rate temporary add-on by adapting its standard rate-setting reimbursement methodology. To understand the payment mechanisms and the costs that facilities incurred as a result of natural disasters, we examined the IRRs and cost reports for facilities requesting and receiving reimbursement. Results: Cost reports and IRR applications indicated that Florida Medicaid spent close to $16 million to pay for hurricane-related costs to NHs. Implications: Without Florida's Hurricane IRR program, many facilities would have not been reimbursed for their hurricane-related costs. Florida's model is one that Medicare and other states should consider adopting to ensure that NHs receive adequate reimbursement for disaster-related expenses, including tornadoes, earthquakes, floods, blizzards, and other catastrophic events. |
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| ISSN: | 0016-9013 |
| DOI: | 10.1093/geront/gnp132 |
