Reimbursement Unit
Randy K. Baker, Reimbursement Unit Manager 


Long-Term Care Resources

For questions, contact 
John Bromberger 
801-538-9189


Mailing information:

If you are unsure about an issue, please ask questions.

Nursing Facility:


Utah Medicaid Nursing Facility Rates - Rates for Utah Nursing Facilities for the period 7/1/2008 through 9/30/2008.
(click here for historical rates)

Add-On Rate History - Listing of all Nursing Home add-on rates since 7/1/2004

Case Mix Preview Report - Nursing homes may request a preview report of the MDS data used in upcoming quarter's case mix portion of the rate.  This section outlines how to request the report for your facility.

SFY 2009 QI Incentive Program Information 
     (CMS approval still pending, but we recommend facilities begin planning.)

       Introduction Letter

       Quality Improvement Incentive (1)
            - Application Form

       Nurse Call Systems (2)
            - Application Form

       Patient Lifts (3)
            - Application Form

       Side-entry Bathing Systems (4)
            - Application Form

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ICF/MR:

ICF/MR rates for SFY 2009

SFY 2009 Quality Improvement Incentive
     (CMS approval still pending)
     - Introduction Letter
     - Application Form 

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Miscellaneous:

Swing Bed Rates
     For the period 1/1/2006 to 12/31/2006
     For the period 1/1/2007 to 12/31/2007 
     For the period 1/1/2008 to 12/31/2008

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Additional Resources:

RUG Weights: Utah Medicaid RUG Weights

Case Mix Calculation:
     Record Selection and Case Mix Calculation (July 2007)

Property Fair Rental Value Sample Calculator (Excel)
     Fiscal Year 2008 FRV Sample Calculator (Excel)

Utah State Rules (click here)
     R414-504 relates to nursing facility reimbursement

Utah State Plan (click here)
     Attachment 4.19-D relates to nursing facility reimbursement

Presentation to UHCA April 16, 2008 (click here)

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Reporting:

Facility Cost Profile Reports

FRV Data Reports