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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
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
FullText Text:
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  Data: Florida's Model of Nursing Home Medicaid Reimbursement for Disaster-Related Expenses
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  Data: <searchLink fieldCode="AR" term="%22Thomas%2C+Kali+S%2E%22">Thomas, Kali S.</searchLink><br /><searchLink fieldCode="AR" term="%22Hyer%2C+Kathryn%22">Hyer, Kathryn</searchLink><br /><searchLink fieldCode="AR" term="%22Brown%2C+Lisa+M%2E%22">Brown, Lisa M.</searchLink><br /><searchLink fieldCode="AR" term="%22Polivka-West%2C+LuMarie%22">Polivka-West, LuMarie</searchLink><br /><searchLink fieldCode="AR" term="%22Branch%2C+Laurence+G%2E%22">Branch, Laurence G.</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Gerontologist%22"><i>Gerontologist</i></searchLink>. Apr 2010 50(2):263-270.
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  Data: 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
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  Data: <searchLink fieldCode="DE" term="%22Expenditures%22">Expenditures</searchLink><br /><searchLink fieldCode="DE" term="%22Natural+Disasters%22">Natural Disasters</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+Homes%22">Nursing Homes</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Facilities%22">Health Facilities</searchLink><br /><searchLink fieldCode="DE" term="%22Costs%22">Costs</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Services%22">Health Services</searchLink><br /><searchLink fieldCode="DE" term="%22Federal+Programs%22">Federal Programs</searchLink><br /><searchLink fieldCode="DE" term="%22State+Federal+Aid%22">State Federal Aid</searchLink><br /><searchLink fieldCode="DE" term="%22Eligibility%22">Eligibility</searchLink><br /><searchLink fieldCode="DE" term="%22Low+Income+Groups%22">Low Income Groups</searchLink><br /><searchLink fieldCode="DE" term="%22Disabilities%22">Disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Models%22">Models</searchLink><br /><searchLink fieldCode="DE" term="%22Weather%22">Weather</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Florida%22">Florida</searchLink>
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  Data: 10.1093/geront/gnp132
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  Data: 0016-9013
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  Data: 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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  Data: EJ876654
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        Value: 10.1093/geront/gnp132
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      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 263
    Subjects:
      – SubjectFull: Expenditures
        Type: general
      – SubjectFull: Natural Disasters
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      – SubjectFull: Nursing Homes
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      – SubjectFull: Eligibility
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      – SubjectFull: Low Income Groups
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      – SubjectFull: Disabilities
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      – SubjectFull: Models
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      – SubjectFull: Weather
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      – SubjectFull: Florida
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