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

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

LTCIS Reports

2023
2 files
Size: 1.83MB
Last modified: Fri. April 14th, 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
2021
8 files
Size: 5.26MB
Last modified: Fri. February 10th, 2023
2021-10-01 - Provider Index Report.pdf
Size: 1.05MB
Last modified: Mon. February 7th, 2022
2021-10-01 - LTCIS Report.pdf
Size: 101.21KB
Last modified: Mon. February 7th, 2022
2021-07-01 - Provider Index Report.pdf
Size: 1.05MB
Last modified: Thu. September 29th, 2022
2021-07-01 - LTCIS Report.pdf
Size: 103.13KB
Last modified: Thu. September 29th, 2022
2021-04-01 - Provider Index Report.pdf
Size: 1.05MB
Last modified: Thu. September 29th, 2022
2021-04-01 - LTCIS Report.pdf
Size: 102.19KB
Last modified: Thu. September 29th, 2022
2021-01-01 - Provider Index Report.pdf
Size: 1.04MB
Last modified: Thu. September 29th, 2022
2021-01-01 - LTCIS Report.pdf
Size: 798.48KB
Last modified: Thu. September 29th, 2022
2020
8 files
Size: 4.94MB
Last modified: Fri. February 10th, 2023
2020-10-01 - Provider Index Report.pdf
Size: 1.04MB
Last modified: Thu. September 29th, 2022
2020-10-01 - LTCIS Report.pdf
Size: 798.44KB
Last modified: Thu. September 29th, 2022
2020-07-01 - Provider Index Report.pdf
Size: 1.04MB
Last modified: Thu. September 29th, 2022
2020-07-01 - LTCIS Report.pdf
Size: 798.4KB
Last modified: Thu. September 29th, 2022
2020-04-01 - Provider Index Report.pdf
Size: 1.03MB
Last modified: Thu. September 29th, 2022
2020-04-01 - LTCIS Report.pdf
Size: 102.88KB
Last modified: Thu. September 29th, 2022
2020-01-01 - Provider Index Report.pdf
Size: 125.04KB
Last modified: Thu. September 29th, 2022
2020-01-01 - LTCIS Report.pdf
Size: 48.62KB
Last modified: Thu. September 29th, 2022

Other Reports

2020 Semi-Annual Statistical Report
6 files
Size: 4.47MB
Last modified: Fri. February 10th, 2023
2020-01-01 - Semi-Annual Statistical Report - NF - Section 1.pdf
Size: 784.48KB
Last modified: Tue. December 6th, 2022
2020-01-01 - Semi-Annual Statistical Report - NF - Section 2.pdf
Size: 789.07KB
Last modified: Tue. December 6th, 2022
2020-01-01 - Semi-Annual Statistical Report - NF - Section 3.pdf
Size: 801.14KB
Last modified: Tue. December 6th, 2022
2020-07-01 - Semi-Annual Statistical Report - NF - Section 1.pdf
Size: 756.48KB
Last modified: Mon. December 5th, 2022
2020-07-01 - Semi-Annual Statistical Report - NF - Section 2.pdf
Size: 761.75KB
Last modified: Mon. December 5th, 2022
2020-07-01 - Semi-Annual Statistical Report - NF - Section 3.pdf
Size: 681.06KB
Last modified: Mon. December 5th, 2022
2021 Semi-Annual Statistical Report
6 files
Size: 4.87MB
Last modified: Fri. February 10th, 2023
2021-01-01 - Semi-Annual Statistical Report - NF - Section 1.pdf
Size: 855.15KB
Last modified: Thu. March 18th, 2021
2021-01-01 - Semi-Annual Statistical Report - NF - Section 2.pdf
Size: 861.41KB
Last modified: Thu. March 18th, 2021
2021-01-01 - Semi-Annual Statistical Report - NF - Section 3.pdf
Size: 778.85KB
Last modified: Thu. March 18th, 2021
2021-07-01 - Semi-Annual Statistical Report - NF - Section 1.pdf
Size: 853.74KB
Last modified: Thu. August 26th, 2021
2021-07-01 - Semi-Annual Statistical Report - NF - Section 2.pdf
Size: 865.25KB
Last modified: Thu. August 26th, 2021
2021-07-01 - Semi-Annual Statistical Report - NF - Section 3.pdf
Size: 773.98KB
Last modified: Mon. December 5th, 2022
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
3 files
Size: 2.44MB
Last modified: Mon. February 27th, 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
Cumulative Rate Listing - Nursing.pdf
Size: 766.14KB
Last modified: Tue. June 6th, 2023
Cumulative Rate Listing - State Nursing Facility.pdf
Size: 5.5KB
Last modified: Wed. September 28th, 2022
Medicare Cost Report Statewide Averages Report.pdf
Size: 1.93MB
Last modified: Fri. April 14th, 2023
RUG-IV Distribution Report.pdf
Size: 114.68KB
Last modified: Mon. March 13th, 2023

Nursing Facility Quality Score Reports

Forms

Nursing Facility Cost Reports
8 files
Size: 990.31KB
Last modified: Fri. February 10th, 2023
Nursing Facility Cost Report - Instructions.pdf
Size: 226.76KB
Last modified: Mon. February 7th, 2022
Nursing Facility Cost Report.pdf
Size: 166.7KB
Last modified: Mon. February 7th, 2022
Nursing Facility Home Office Instructions.pdf
Size: 39.1KB
Last modified: Mon. February 7th, 2022
Nursing Facility Home Office Report.pdf
Size: 118.62KB
Last modified: Mon. February 7th, 2022
Nursing Facility Medicare-Medicaid Reconciliation Form - Instructions.pdf
Size: 5.64KB
Last modified: Mon. February 7th, 2022
Nursing Facility Medicare-Medicaid Reconciliation Form.pdf
Size: 5.25KB
Last modified: Mon. February 7th, 2022
Nursing Facility Quality Assessment Data Collection Form - Instructions.pdf
Size: 236.53KB
Last modified: Mon. February 7th, 2022
Nursing Facility Quality Assessment Data Collection Form.pdf
Size: 191.7KB
Last modified: Mon. February 7th, 2022
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
Certification for Non-Medicare Certified Facilities.pdf
Size: 288.45KB
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

2023
4 files
Size: 4.33MB
Last modified: Mon. May 15th, 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
2021
8 files
Size: 3.4MB
Last modified: Fri. February 10th, 2023
2021-10-01 - Provider Index Report.pdf
Size: 1.01MB
Last modified: Wed. April 27th, 2022
2021-10-01 - LTCIS Report.pdf
Size: 228.63KB
Last modified: Wed. April 27th, 2022
2021-07-01 - Provider Index Report.pdf
Size: 1.01MB
Last modified: Mon. September 13th, 2021
2021-07-01 - LTCIS Report.pdf
Size: 227.61KB
Last modified: Tue. October 11th, 2022
2021-04-01 - Provider Index Report.pdf
Size: 266.6KB
Last modified: Tue. July 13th, 2021
2021-04-01 - LTCIS Report.pdf
Size: 227.66KB
Last modified: Tue. July 13th, 2021
2021-01-01 - Provider Index Report.pdf
Size: 229.23KB
Last modified: Fri. April 16th, 2021
2021-01-01 - LTCIS Report.pdf
Size: 229.95KB
Last modified: Tue. October 11th, 2022
2020
8 files
Size: 3.19MB
Last modified: Fri. February 10th, 2023
2020-10-01 - Provider Index Report.pdf
Size: 225.24KB
Last modified: Thu. September 29th, 2022
2020-10-01 - LTCIS Report.pdf
Size: 235.04KB
Last modified: Thu. September 29th, 2022
2020-07-01 - Provider Index Report.pdf
Size: 872.45KB
Last modified: Thu. September 29th, 2022
2020-07-01 - LTCIS Report.pdf
Size: 931.35KB
Last modified: Thu. September 29th, 2022
2020-04-01 - Provider Index Report.pdf
Size: 280.98KB
Last modified: Thu. September 29th, 2022
2020-04-01 - LTCIS Report.pdf
Size: 235.5KB
Last modified: Thu. September 29th, 2022
2020-01-01 - Provider Index Report.pdf
Size: 245.35KB
Last modified: Thu. September 29th, 2022
2020-01-01 - LTCIS Report.pdf
Size: 236.49KB
Last modified: Thu. September 29th, 2022

Other Reports

Forms

Tables

Cost Report Due Dates

Change of Ownership

State Psychiatric Hospital

Other Reports

Billing Guidelines

Forms

Tables

Cost Report Due Dates

Web Portal

Forms

Guidelines and Frequently Asked Questions