Indiana
Indiana Office of Medicaid Policy
and Planning

Long Term Care

Back to Main Indiana Page
Important Contact Information

Email: LTCdept@mslc.com
Phone: 317.846.9521
Phone: 800.877.6927
Fax: 317.571.8481

Myers and Stauffer LC
800 East 96th Street, Suite 200
Indianapolis, IN 46240

Announcements

New Announcements

2024-09-17 - FRV Survey Form Extension Announcement.pdf
Size: 285.59KB
Last modified: Tue. September 17th, 2024
2024-08-21 - Nursing Facility FRV Survey Form Announcement.pdf
Size: 263.95KB
Last modified: Wed. August 21st, 2024
2024-08-15 - SFY 2024 Final Payment and SFY 2025 Q1 Payment Announcements.pdf
Size: 251.65KB
Last modified: Thu. August 15th, 2024
2024-07-12 - Nursing Facility Quality Assessment Fee Frequently Asked Questions Update.pdf
Size: 238.35KB
Last modified: Fri. July 12th, 2024
2024-07-03 - Nursing Facility Quality Assessment Fee Frequently Asked Questions.pdf
Size: 240.14KB
Last modified: Wed. July 3rd, 2024
2024-06-28 - NF Quality Assessment Fee Analysis Posted.pdf
Size: 235.9KB
Last modified: Fri. June 28th, 2024
2024-06-27 - NF Quality Assessment Fee Collection Process Effective 7.1.24.pdf
Size: 241.82KB
Last modified: Thu. June 27th, 2024
2024-06-14 - Myers and Stauffer Processing Timeline.pdf
Size: 234.66KB
Last modified: Fri. June 14th, 2024
2024-06-07 - NF Rate Transmission Timeline.pdf
Size: 259.95KB
Last modified: Fri. June 7th, 2024
2024-05-23 - Census Form Announcement.pdf
Size: 242.48KB
Last modified: Thu. May 23rd, 2024
2024-04-30 - NSGO UPL June 2024 Payment Changes.pdf
Size: 305.25KB
Last modified: Tue. April 30th, 2024
2024-04-15 - System Maintenance.pdf
Size: 243.89KB
Last modified: Mon. April 15th, 2024
2024-04-05 - Quality Program Calculation for RED 7-1-24.pdf
Size: 239.34KB
Last modified: Fri. April 5th, 2024
2024-04-04 - NF Rate Release Announcement.pdf
Size: 286.1KB
Last modified: Thu. April 4th, 2024
2024-03-29 - Revised Home Office Electronic Cost Report.pdf
Size: 236.53KB
Last modified: Fri. March 29th, 2024
2024-03-20 - NF Rate Release Announcement.pdf
Size: 336.27KB
Last modified: Wed. March 20th, 2024
2024-03-20 - Quality Manual and MDS Manual Reposting.pdf
Size: 240.59KB
Last modified: Wed. March 20th, 2024
2024-03-12 - CMS Approves State Plan Amendment.pdf
Size: 346.57KB
Last modified: Wed. March 13th, 2024
2024-03-04 - Electronic Cost Report Announcement.pdf
Size: 262.39KB
Last modified: Mon. March 4th, 2024
2024-02-09 - Schedule Z Submission due March 31, 2024.pdf
Size: 239.15KB
Last modified: Fri. February 9th, 2024
2024-01-15 - Change in Management Representation Timing.pdf
Size: 221.26KB
Last modified: Mon. January 15th, 2024
2023-11-10 - NSGO UPL December 2023 Payments Changes.pdf
Size: 303.34KB
Last modified: Fri. November 10th, 2023
2023-10-30 - Quality Program Calculation for RED 7-1-23.pdf
Size: 226.12KB
Last modified: Sun. October 29th, 2023
2023-09-29 - Required MDS Assessment Items Effective October 1 2023.pdf
Size: 224.39KB
Last modified: Fri. September 29th, 2023
2023-09-28 - Long-Term Care Changes Being Implemented.pdf
Size: 256.54KB
Last modified: Fri. September 29th, 2023
2023-09-28 - Schedule Z Submissions for Newly Qualifying Special Facility Programs.pdf
Size: 230.12KB
Last modified: Thu. September 28th, 2023
2023-09-08 - Quarter 2 2023 Second Preliminary Roster to be Generated and Issued.pdf
Size: 250.35KB
Last modified: Fri. September 8th, 2023
2023-09-08 - Processing Timeline for July 1 2023 through July 1 2024.pdf
Size: 418.54KB
Last modified: Fri. September 8th, 2023
2023-08-17 - Reminder of Indiana Nursing Facility MDS Assessment to Require OSA Beginning Oct. 1.pdf
Size: 256.79KB
Last modified: Thu. August 17th, 2023
2023-08-03 - (UPL) Supplemental Payment Modification for Q4 SFY 2023 Interim.pdf
Size: 227.54KB
Last modified: Thu. August 3rd, 2023
2023-07-27 - Announcement - Census Data Collection Form.pdf
Size: 298.03KB
Last modified: Thu. July 27th, 2023
2023-06-30 - Billing Guidance for Specialized Services.pdf
Size: 131.35KB
Last modified: Fri. June 30th, 2023
2023-06-16 - Schedule Z Due Date Extended to July 14, 2023.pdf
Size: 256.51KB
Last modified: Tue. June 20th, 2023
2023-06-16 - Nursing Facilities Updated Due Dates for Requests for Additional Information.pdf
Size: 280.81KB
Last modified: Sat. June 17th, 2023
2023-06-08 - Restart Preparation and Submission of Schedule Z.pdf
Size: 259.21KB
Last modified: Thu. June 8th, 2023
2023-05-12 - CMS MDS Assessment Resident ID Change and Delay in Final Q1 Resident Roster Posting.pdf
Size: 227.29KB
Last modified: Fri. May 12th, 2023
2023-05-04 - UPL Supplemental Payment Trend.pdf
Size: 229.98KB
Last modified: Thu. May 4th, 2023
2023-05-03 - Draft Response Extension Policy Change.pdf
Size: 221.88KB
Last modified: Wed. May 3rd, 2023
2023-04-27 - 10.1.2023 Optional State Assessment Filing Requirement.pdf
Size: 804.42KB
Last modified: Thu. April 27th, 2023
2023-03-20 - MDS Audit Results Not Reflected in Some Nursing Facility Rates.pdf
Size: 228.86KB
Last modified: Mon. March 20th, 2023
2023-02-28 - Postpone Preparation and Submission of Schedules X and Z.pdf
Size: 222.45KB
Last modified: Thu. March 2nd, 2023

Archive — General

2021-07-15 – Submission Methods to Myers and Stauffer.pdf
Size: 364.68KB
Last modified: Mon. March 28th, 2022
2021-06-24 – OMPP Announcement Regarding Due Dates and Reinstatement of Penalties.pdf
Size: 359.11KB
Last modified: Fri. September 23rd, 2022
2021-06-24 – OMPP Announcement Regarding Due Dates and Reinstatement of Penalties Attachment.pdf
Size: 14.69KB
Last modified: Wed. August 31st, 2022
2020-06-17 - Announcement Regarding Upcoming Medicaid Cost Report Submission.pdf
Size: 335.71KB
Last modified: Fri. September 23rd, 2022
2020-06-17 - Announcement Regarding Upcoming Medicaid Cost Report Submission Attachment.pdf
Size: 64.82KB
Last modified: Wed. August 31st, 2022
2020-05-19 - Extensions Issued by OMPP in response to COVID-19 Update.pdf
Size: 339.33KB
Last modified: Fri. September 23rd, 2022
2020-05-19 - Extensions Issued by OMPP in response to COVID-19 Update Attachment.pdf
Size: 114.52KB
Last modified: Wed. August 31st, 2022
2020-03-20 - Extensions Issued by OMPP in Response to COVID-19.pdf
Size: 264.29KB
Last modified: Fri. September 23rd, 2022
2020-03-20 - Extensions Issued by OMPP in Response to COVID-19 Attachment.pdf
Size: 113.1KB
Last modified: Wed. August 31st, 2022
2017-02-03 - HPE Transition from IndianaAIM to CoreMMIS ~ Impact on Medicaid Rates.pdf
Size: 349.03KB
Last modified: Thu. May 12th, 2022
2017-01-23 - Third Party Disclosure Authorization.pdf
Size: 359.89KB
Last modified: Sun. September 25th, 2022
2017-01-23 - Third Party Disclosure Authorization Attachment2.pdf
Size: 104.61KB
Last modified: Wed. August 31st, 2022
2017-01-23 - Third Party Disclosure Authorization Attachment1.pdf
Size: 61.78KB
Last modified: Wed. August 31st, 2022
2017 - Effective March 1, 2017 Myers and Stauffer LC has changed the process related to releasing information.pdf
Size: 355.84KB
Last modified: Thu. May 12th, 2022
2016-12-20 - New Web Portal for Long-term Care Cost Reports and Compliance Reviews.pdf
Size: 366.46KB
Last modified: Tue. September 27th, 2022
2016-12-20 - New Web Portal for Long-term Care Cost Reports and Compliance Reviews Attachment3.docx
Size: 17.14KB
Last modified: Wed. August 31st, 2022
2016-12-20 - New Web Portal for Long-term Care Cost Reports and Compliance Reviews Attachment2.docx
Size: 15.96KB
Last modified: Wed. August 31st, 2022
2016-12-20 - New Web Portal for Long-term Care Cost Reports and Compliance Reviews Attachment1.pdf
Size: 52.04KB
Last modified: Wed. August 31st, 2022
2015-10-26 - HPE Transition from Indiana to CoreMMIS ~ Impact on Medicaid Rates.pdf
Size: 352.68KB
Last modified: Thu. May 12th, 2022
+Revised Checklist of Management's Representations Concerning Change in Ownership.pdf
Size: 346.36KB
Last modified: Thu. May 12th, 2022
+Miller Trust.pdf
Size: 342.7KB
Last modified: Thu. May 12th, 2022
+Compliance Review Information Requests.pdf
Size: 345.06KB
Last modified: Tue. September 27th, 2022
+Compliance Review Information Requests Attachment.pdf
Size: 53.33KB
Last modified: Wed. August 31st, 2022

Archive — Group Homes Specific

Archive — Nursing Facility Specific

2022-07-07 - Special Care Unit ~ Resident Rosters Posted.pdf
Size: 436.98KB
Last modified: Wed. August 31st, 2022
2022-02-14 – Special Care Unit.pdf
Size: 366.86KB
Last modified: Mon. March 28th, 2022
2022-01-06 – OMPP Announcement – Temporary Increase for COVID-19 Ready Nursing Facilities Extended.pdf
Size: 364.9KB
Last modified: Mon. March 28th, 2022
2021-11-24 – OMPP Announcement – IHCP COVID-19 Response Reimbursement temporarily increased for COVID-19 Ready Nursing Facilities.pdf
Size: 364.58KB
Last modified: Tue. September 27th, 2022
2021-11-24 – OMPP Announcement – IHCP COVID-19 Response Reimbursement Bulletin.docx
Size: 17.93KB
Last modified: Tue. September 27th, 2022
2021-11-24 – OMPP Announcement – IHCP COVID-19 Response Reimbursement Attestation Statement.docx
Size: 18.58KB
Last modified: Tue. September 27th, 2022
2021-09-30 – IDOH and OMPP Announcement – Extension of the Temporary 4 Perc Increase for Indiana Nursing Facilities Attesting to Bed COVID-19 Ready.pdf
Size: 494.85KB
Last modified: Wed. March 29th, 2023
2021-09-20 – OMPP Announcement – IHCP COVID-19 Response Reimbursement temporarily increased for COVID-19 Ready Nursing Facilities.pdf
Size: 356.26KB
Last modified: Tue. September 27th, 2022
2021-09-20 – OMPP Announcement – IHCP COVID-19 Response Reimbursement ready nursing facilities.docx
Size: 15.87KB
Last modified: Tue. September 27th, 2022
2021-09-20 – OMPP Announcement – IHCP COVID-19 Response Reimbursement Attestation Statement.docx
Size: 18.57KB
Last modified: Tue. September 27th, 2022
2021-04-09 – OMPP Announcement.pdf
Size: 415.73KB
Last modified: Mon. March 28th, 2022
2021-03-19 – OMPP Announcement.pdf
Size: 439.18KB
Last modified: Mon. March 28th, 2022
2021-03-08 – Update - 4.2 Percent Rate Increase Extended to March 31, 2021.pdf
Size: 414.03KB
Last modified: Wed. March 29th, 2023
2021-02-16 – Update - 4.2 Percent Rate Increase Extended to February 28, 2021.pdf
Size: 349.63KB
Last modified: Wed. March 29th, 2023
2021-01-11 – Update - 4.2 Percent Rate Increase Extended to January 31, 2021.pdf
Size: 349.66KB
Last modified: Wed. March 29th, 2023
2020-12-09 – Update - 4.2 Percent Rate Increase Extended to December 30, 2020.pdf
Size: 424.27KB
Last modified: Wed. March 29th, 2023
2020-11-25 – IHCP Announces Nursing Facilities Need to Complete CMS’s Targeted COVID-19 Training.pdf
Size: 373.37KB
Last modified: Tue. September 27th, 2022
2020-11-25 – IHCP Announces Nursing Facilities Need to Complete CMS’s Targeted COVID-19 Training Attestation Statement.docx
Size: 21.75KB
Last modified: Tue. September 27th, 2022
2020-10 - Extension of the Nursing Facility Temporary 4.2 Percent Reimbursement Rate Increase.pdf
Size: 414.96KB
Last modified: Wed. March 29th, 2023
2020-08 - Target Date for Nursing Facility Submissions.pdf
Size: 407.4KB
Last modified: Wed. May 11th, 2022
2020-06-17 – DEADLINE FOR NURSING FACILITY COST REPORT AND SCHEDULE SUBMISSIONS.pdf
Size: 416.44KB
Last modified: Tue. September 27th, 2022
2020-06-17 – DEADLINE FOR NURSING FACILITY COST REPORT AND SCHEDULE SUBMISSIONS attachment.pdf
Size: 64.82KB
Last modified: Tue. September 27th, 2022
2020-05-22 - Non-State Government Owned.Operating Nursing Facility June 2020 Supplemental Payment.pdf
Size: 335.98KB
Last modified: Tue. September 27th, 2022
2020-05-22 - Non-State Government Owned.Operating Nursing Facility June 2020 Supplemental Payment Attachment.pdf
Size: 128.47KB
Last modified: Tue. September 27th, 2022
2020-05 - IHCP COVID-19 Response IHCP Clarifies Reimbursement for Nursing Facility Resident Add-on.pdf
Size: 426.27KB
Last modified: Wed. May 11th, 2022
2020-05 - IHCP Announces Additional Reimbursement for COVID-19 Ready Nursing Facilities.pdf
Size: 517.62KB
Last modified: Tue. September 27th, 2022
2020-04-17 - OMPP Implementing Rate Increase for Medicaid Nursing Facilities due to COVID-19.pdf
Size: 353.96KB
Last modified: Thu. May 12th, 2022
2020-03-25 - Nursing Facility Cost Report and Instructions Update.pdf
Size: 371.01KB
Last modified: Thu. May 12th, 2022
2020-03-25 - IHCP Updates ACP Criteria for Nursing Facilities.pdf
Size: 357.49KB
Last modified: Tue. September 27th, 2022
2019 - Upcoming Due Dates for Nursing Facilities.pdf
Size: 368.82KB
Last modified: Thu. May 12th, 2022
2018-04-05 - Nursing Facility Cost Report and Instructions Update.pdf
Size: 372.16KB
Last modified: Thu. May 12th, 2022
2017-01-04 - Nursing Facility Update Cost Report and Instructions.pdf
Size: 357.78KB
Last modified: Tue. September 27th, 2022
2017-01-04 - Nursing Facility Update Cost Report and Instructions Attachment.pdf
Size: 94.9KB
Last modified: Tue. September 27th, 2022
2016-01-12 - Nonstate Government Owned (NSGO) Supplemental Payment Program FAQ's and Clarification of Program Requirements.pdf
Size: 354.04KB
Last modified: Tue. September 27th, 2022
2016-01-12 - Nonstate Government Owned (NSGO) Supplemental Payment Program FAQ's and Clarification Attachment.pdf
Size: 1.47MB
Last modified: Fri. February 10th, 2023
+Updated Schedule Z and Instructions.pdf
Size: 340.69KB
Last modified: Thu. May 12th, 2022
+Updated Schedule X.pdf
Size: 337.26KB
Last modified: Thu. May 12th, 2022
+QAF Appeal Reduction Plan.pdf
Size: 339.29KB
Last modified: Fri. February 10th, 2023
+Optional State Assessment Guidance.pdf
Size: 350.73KB
Last modified: Fri. February 10th, 2023
+Nonstate Government Owned (NSGO) Announcement - OMPP initiates additional procedures during compliance review of NSGO providers.pdf
Size: 347.31KB
Last modified: Fri. February 10th, 2023
+Nonstate Government Owned (NSGO) Announcement - OMPP initiates additional procedures during compliance review of NSGO providers Attachment.pdf
Size: 652.98KB
Last modified: Fri. February 10th, 2023
+IHCP Announces Additional Reimbursement for COVID-19 Ready Nursing Facilities Attestation.docx
Size: 19.24KB
Last modified: Tue. September 27th, 2022

Archive — Home Health Specific

Nursing Facility

Medicaid Rate Calculation Transition (mLTSS)

Quality Program Manual - Effective 07.1.23.pdf
Size: 254.68KB
Last modified: Wed. March 20th, 2024
Nursing Facility Cost Report - March 2024.xlsm
Size: 730.79KB
Last modified: Fri. March 29th, 2024
MDS and Case Mix Index Supportive Documentation Manual - Effective 10.1.23.pdf
Size: 715.05KB
Last modified: Tue. March 19th, 2024
MDS and Case Mix Index Supportive Documentation Manual - Effective 07.1.23.pdf
Size: 715.37KB
Last modified: Tue. March 19th, 2024
Indiana Medicaid Provider Reimbursement Manual V2.5 - Effective for Cost Reports Ending after 03.31.23.pdf
Size: 341KB
Last modified: Wed. April 3rd, 2024
Indiana Medicaid Provider Reimbursement Manual - Effective for Cost Reports Ending Prior to 03.31.23.pdf
Size: 1.16MB
Last modified: Wed. April 3rd, 2024
Home Office Cost Report V2 - March 2024.xlsm
Size: 1.97MB
Last modified: Fri. March 29th, 2024
2024-03-12 - CMS Approves State Plan Amendment.pdf
Size: 346.57KB
Last modified: Wed. March 13th, 2024
2023-09-28 - Long-Term Care Changes Being Implemented.pdf
Size: 256.54KB
Last modified: Fri. September 29th, 2023
2023-09-19 - BT2023118 Long-Term Care Changes Being Implemented.pdf
Size: 487.58KB
Last modified: Wed. September 20th, 2023
2023-09-14 - BT2023116 Nursing Facilities to Maintain Calendar Year Fiscal.pdf
Size: 374.48KB
Last modified: Wed. September 20th, 2023
2023-09-08 - Processing Timeline for July 1 2023 through July 1 2024.pdf
Size: 418.54KB
Last modified: Fri. September 8th, 2023
2023-06-30 - Billing Guidance for Specialized Services.pdf
Size: 131.35KB
Last modified: Fri. August 11th, 2023

Processing Timeline

Quality Assessment Fee Analysis

LTCIS Reports

2024
4 files
Size: 458.23KB
Last modified: Fri. May 31st, 2024
Provider Index Report - Rate Effective Date 07-01-2024.xlsx
Size: 137.9KB
Last modified: Fri. May 31st, 2024
Provider Index Report - Rate Effective Date 01-01-2024.xlsx
Size: 134.34KB
Last modified: Fri. May 31st, 2024
LTCIS Report - Rate Effective Date 07-01-2024.xlsx
Size: 93.96KB
Last modified: Fri. May 31st, 2024
LTCIS Report - Rate Effective Date 01-01-2024.xlsx
Size: 92.02KB
Last modified: Fri. May 31st, 2024
2023
6 files
Size: 4.14MB
Last modified: Mon. August 7th, 2023
2023-07-01 - Provider Index Report.pdf
Size: 376.49KB
Last modified: Mon. August 7th, 2023
2023-07-01 - LTCIS Report.pdf
Size: 123.65KB
Last modified: Mon. August 7th, 2023
2023-04-01 - Provider Index Report.pdf
Size: 1.04MB
Last modified: Tue. June 13th, 2023
2023-04-01 - LTCIS Report.pdf
Size: 798.24KB
Last modified: Tue. June 13th, 2023
2023-01-01 - Provider Index Report.pdf
Size: 1.05MB
Last modified: Fri. April 14th, 2023
2023-01-01 - LTCIS Report.pdf
Size: 798.14KB
Last modified: Fri. April 14th, 2023
2022
8 files
Size: 6.23MB
Last modified: Fri. February 10th, 2023
2022-10-01 - Provider Index Report.pdf
Size: 1.72MB
Last modified: Thu. November 17th, 2022
2022-10-01 - LTCIS Report.pdf
Size: 798.08KB
Last modified: Thu. November 17th, 2022
2022-07-01 - Provider Index Report.pdf
Size: 371.65KB
Last modified: Tue. October 4th, 2022
2022-07-01 - LTCIS Report.pdf
Size: 99.39KB
Last modified: Tue. October 4th, 2022
2022-04-01 - Provider Index Report.pdf
Size: 1.15MB
Last modified: Wed. September 7th, 2022
2022-04-01 - LTCIS Report.pdf
Size: 102.02KB
Last modified: Wed. September 7th, 2022
2022-01-01 - Provider Index Report.pdf
Size: 1.14MB
Last modified: Wed. June 29th, 2022
2022-01-01 - LTCIS Report.pdf
Size: 903.89KB
Last modified: Wed. June 29th, 2022

Other Reports

2022 Semi-Annual Statistical Report
6 files
Size: 4.18MB
Last modified: Fri. February 10th, 2023
2022-01-01 - Semi-Annual Statistical Report - NF - Section 1.pdf
Size: 848.49KB
Last modified: Wed. March 2nd, 2022
2022-01-01 - Semi-Annual Statistical Report - NF - Section 2.pdf
Size: 859.07KB
Last modified: Wed. March 2nd, 2022
2022-01-01 - Semi-Annual Statistical Report - NF - Section 3.pdf
Size: 773.28KB
Last modified: Wed. March 2nd, 2022
2022-07-01 - Semi-Annual Statistical Report - NF - Section 1.pdf
Size: 159.1KB
Last modified: Wed. September 28th, 2022
2022-07-01 - Semi-Annual Statistical Report - NF - Section 2.pdf
Size: 865.41KB
Last modified: Wed. September 28th, 2022
2022-07-01 - Semi-Annual Statistical Report - NF - Section 3.pdf
Size: 778.35KB
Last modified: Wed. September 28th, 2022
2023 Semi-Annual Statistical Report
6 files
Size: 2.84MB
Last modified: Mon. August 7th, 2023
2023-01-01 - Semi-Annual Statistical Report - NF - Section 1.pdf
Size: 855.56KB
Last modified: Mon. February 27th, 2023
2023-01-01 - Semi-Annual Statistical Report - NF - Section 2.pdf
Size: 865.7KB
Last modified: Mon. February 27th, 2023
2023-01-01 - Semi-Annual Statistical Report - NF - Section 3.pdf
Size: 774.13KB
Last modified: Mon. February 27th, 2023
2023-07-01 - Semi-Annual Statistical Report - NF - Section 1.pdf
Size: 159.63KB
Last modified: Mon. August 7th, 2023
2023-07-01 - Semi-Annual Statistical Report - NF - Section 2.pdf
Size: 169.71KB
Last modified: Mon. August 7th, 2023
2023-07-01 - Semi-Annual Statistical Report - NF - Section 3.pdf
Size: 81.98KB
Last modified: Mon. August 7th, 2023
2024 Semi-Annual Statistical Report
6 files
Size: 4.88MB
Last modified: Mon. September 9th, 2024
2024-01-01 - Semi-Annual Statistical Report - NF - Section 1.pdf
Size: 855.25KB
Last modified: Fri. February 2nd, 2024
2024-01-01 - Semi-Annual Statistical Report - NF - Section 2.pdf
Size: 865.14KB
Last modified: Fri. February 2nd, 2024
2024-01-01 - Semi-Annual Statistical Report - NF - Section 3.pdf
Size: 778.31KB
Last modified: Fri. February 2nd, 2024
2024-07-01 - Semi-Annual Statistical Report - NF - Section 1.pdf
Size: 853.61KB
Last modified: Mon. September 9th, 2024
2024-07-01 - Semi-Annual Statistical Report - NF - Section 2.pdf
Size: 865.23KB
Last modified: Mon. September 9th, 2024
2024-07-01 - Semi-Annual Statistical Report - NF - Section 3.pdf
Size: 776.51KB
Last modified: Mon. September 9th, 2024
Cumulative Rate Listing - Nursing.pdf
Size: 732.72KB
Last modified: Thu. May 16th, 2024
Cumulative Rate Listing - Nursing RED 7.1.19 - 6.30.20.pdf
Size: 226.06KB
Last modified: Fri. October 13th, 2023
Cumulative Rate Listing - State Nursing Facility.pdf
Size: 58.98KB
Last modified: Sun. June 30th, 2024
RUG-IV Distribution Report.pdf
Size: 114.52KB
Last modified: Tue. August 22nd, 2023

Schedule Z (SCU and Vent) Approved Provider Listing

Nursing Facility Quality Score Reports

Forms

Nursing Facility Census Data Collection Form
3 files
Size: 618.1KB
Last modified: Thu. May 23rd, 2024
Announcement - Census Data Collection Form 23-07.pdf
Size: 298.03KB
Last modified: Thu. May 23rd, 2024
Announcement - Updated Census Form Announcement 24-05.pdf
Size: 242.48KB
Last modified: Thu. May 23rd, 2024
Nursing Facility Census Data Collection Form v2.xlsx
Size: 77.59KB
Last modified: Fri. June 28th, 2024
Nursing Facility Cost Reports
2 files
Size: 2.68MB
Last modified: Fri. March 29th, 2024
Home Office Cost Report V2 - March 2024.xlsm
Size: 1.97MB
Last modified: Fri. March 29th, 2024
Nursing Facility Cost Report - March 2024.xlsm
Size: 730.79KB
Last modified: Fri. March 29th, 2024
Nursing Facility Instructions and Manuals
4 files
Size: 2.85MB
Last modified: Fri. March 1st, 2024
Superseded
3 files
Size: 1.35MB
Last modified: Fri. March 1st, 2024
Indiana Medicaid Provider Reimbursement Manual V2.3 - Effective for Cost Reports Ending After 03.31.23.pdf
Size: 1.09MB
Last modified: Fri. March 1st, 2024
Nursing Facility Cost Report - Instructions.pdf
Size: 226.76KB
Last modified: Fri. March 1st, 2024
Nursing Facility Home Office Instructions.pdf
Size: 39.1KB
Last modified: Fri. March 1st, 2024
Indiana Medicaid Provider Reimbursement Manual - Effective for Cost Reports Ending Prior to 03.31.23.pdf
Size: 1.16MB
Last modified: Wed. April 3rd, 2024
Indiana Medicaid Provider Reimbursement Manual V2.5 - Effective for Cost Reports Ending after 03.31.23.pdf
Size: 341KB
Last modified: Wed. April 3rd, 2024
Nursing Facility Medicare-Medicaid Reconciliation Form - Instructions.pdf
Size: 5.64KB
Last modified: Fri. March 1st, 2024
Nursing Facility Quality Assessment Data Collection Form
2 files
Size: 428.23KB
Last modified: Fri. March 1st, 2024
Nursing Facility Quality Assessment Data Collection Form - Instructions.pdf
Size: 236.53KB
Last modified: Fri. March 1st, 2024
Nursing Facility Quality Assessment Data Collection Form.pdf
Size: 191.7KB
Last modified: Fri. March 1st, 2024
Schedule of Special Facility Qualifications (Schedule Z)
2 files
Size: 174.41KB
Last modified: Thu. June 8th, 2023
Schedule of Special Facility Qualifications (Schedule Z) - Instructions.pdf
Size: 91.15KB
Last modified: Thu. June 8th, 2023
Schedule of Special Facility Qualifications (Schedule Z).xlsx
Size: 83.26KB
Last modified: Thu. February 8th, 2024
State Nursing Facility
2 files
Size: 211.61KB
Last modified: Fri. February 10th, 2023
Nursing Facility Cost Report - State - Instructions.pdf
Size: 138.25KB
Last modified: Mon. February 7th, 2022
Nursing Facility Cost Report - State.pdf
Size: 73.36KB
Last modified: Mon. February 7th, 2022
IQ - Nursing (No Home Office) - Electronic.xlsx
Size: 31.94KB
Last modified: Mon. February 7th, 2022
IQ - Nursing (w Home Office) - Electronic.xlsx
Size: 34.67KB
Last modified: Mon. February 7th, 2022

Tables

Cost Report Due Dates

NSGO UPL Documents

QAF Appeal Reduction Plan

CRF-DD/ICF-IID

LTCIS Reports

2024
6 files
Size: 5.63MB
Last modified: Tue. August 20th, 2024
2024-07-01 Provider Index Report.pdf
Size: 1.18MB
Last modified: Tue. August 20th, 2024
2024-07-01 LTCIS Report.pdf
Size: 930.97KB
Last modified: Tue. August 20th, 2024
2024-04-01 Provider Index Report.pdf
Size: 880.6KB
Last modified: Thu. June 6th, 2024
2024-04-01 LTCIS Report.pdf
Size: 926.93KB
Last modified: Thu. June 6th, 2024
2024-01-01 Provider Index Report.pdf
Size: 884.97KB
Last modified: Fri. February 16th, 2024
2024-01-01 LTCIS Report.pdf
Size: 931.11KB
Last modified: Fri. February 16th, 2024
2023
8 files
Size: 8.12MB
Last modified: Tue. December 5th, 2023
2023-10-01 - Provider Index Report.pdf
Size: 930.8KB
Last modified: Tue. December 5th, 2023
2023-10-01 - LTCIS Report.pdf
Size: 890.71KB
Last modified: Tue. December 5th, 2023
2023-07-01 - Provider Index Report.pdf
Size: 1.1MB
Last modified: Wed. October 4th, 2023
2023-07-01 - LTCIS Report.pdf
Size: 931.11KB
Last modified: Wed. October 4th, 2023
2023-04-01 - Provider Index Report.pdf
Size: 1.22MB
Last modified: Mon. May 15th, 2023
2023-04-01 - LTCIS Report.pdf
Size: 932.31KB
Last modified: Mon. May 15th, 2023
2023-01-01 - Provider Index Report.pdf
Size: 1.29MB
Last modified: Mon. February 27th, 2023
2023-01-01 - LTCIS Report.pdf
Size: 926.58KB
Last modified: Mon. February 27th, 2023
2022
8 files
Size: 6.3MB
Last modified: Fri. February 10th, 2023
2022-10-01 - Provider Index Report.pdf
Size: 1.32MB
Last modified: Thu. January 26th, 2023
2022-10-01 - LTCIS Report.pdf
Size: 926.74KB
Last modified: Thu. January 26th, 2023
2022-07-01 - Provider Index Report.pdf
Size: 932.38KB
Last modified: Thu. July 28th, 2022
2022-07-01 - LTCIS Report.pdf
Size: 927.52KB
Last modified: Tue. October 11th, 2022
2022-04-01 - Provider Index Report.pdf
Size: 918.96KB
Last modified: Fri. May 27th, 2022
2022-04-01 - LTCIS Report.pdf
Size: 235.24KB
Last modified: Fri. May 27th, 2022
2022-01-01 - Provider Index Report.pdf
Size: 923.62KB
Last modified: Mon. May 2nd, 2022
2022-01-01 - LTCIS Report.pdf
Size: 228.67KB
Last modified: Mon. May 2nd, 2022

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