Reminder: Cost reports are required to be submitted by Friday September 1, 2023 to WVCostReports@mslc.com.
West Virginia Medicaid Program, Department of Health and Human Resources
Bureau for Medical Services (BMS)
Myers and Stauffer LC is a certified public accounting firm that provides professional accounting, consulting, data management and analysis services to government-sponsored healthcare programs. Myers and Stauffer LC is a contractor for the West Virginia Department of Health and Human Resources, the agency that administers the Medicaid Program for the state of West Virginia. This web site is intended to provide an efficient means to obtain Medicaid program documentation.
Project Overview Handout
(IDD, AD, TBI Waivers, PC Program)
Download project overview below:
Final Report – Waiver Rate Recommendations
(IDD, AD, TBI Waivers, PC Program)
Download the final report below:
Important Contact Information
For HCBS Cost Survey
Email: WVCostReports@mslc.com
Cost Survey for the Intellectual and/or Developmental Disabilities Waiver (IDDW), the Traumatic Brain Injury (TBI) Waiver, the Aged and Disabled Waiver (ADW), and the Personal Care Program (PC)
Join MSLC cost report staff and other West Virginia Medicaid providers for weekly Q&A and cost report assistance.
Register here: https://us06web.zoom.us/meeting/register/tZIod-6hrzoiGdIWXFX8zWX9FspeN2irOv_g
Download and save a copy of the cost report to your computer.
Excel Problems? Click here for help.
Trainings and Webinars
Support Session Recordings
July 12th Support Session: Introduction to Cost Report. Tabs: Provider data, Services, Expenses.
July 19th Support Session: Discussion on tabs related to staff positions, staff training, and RNs. Tabs: Admin Staffing, Program Staffing, Direct Care Staffing (RN example), Benefits, Training and Turnover, and Transportation and Med Management.
July 26th Support Session: Question and answers on nursing staff costs, other program costs, and transportation.
August 2nd Support Session: Question and answers on reporting lump sum ARPA payments, payroll taxes and benefits, and procedure codes not listed in the procedure codes tab.
August 9th Support Session: Question and answers on billed ARPA units, documentation of owners’ salaries, excluded procedure codes, timespan of the cost report information, and acceptable financial documents. Discussion on where to describe other services or lines of business not included in the rate study. Example given of how to enable macros. Discussion on how to report a combination of payroll taxes and benefits that can’t be broken out.
August 16th Support Session: Discussion on when the Expenses tab: when general and administrative costs should be recorded in Line 63 of the Expense tab, when to use the Occupancy Expense Line 43 and how to use the option in Column E. Discussion on Procedure tab reporting not requiring ARPA money to be subtracted from service lines, and the costs of inflation and benefits cost increase.
August 23rd Support Session: Discussion on making sure service tabs (such as the Nursing service tab) shows up in the cost report when you select services on the Service tab. If no teal service tabs appear, the macro isn’t working and you should email the team for assistance. Indirect allocations to capture admin staffing costs related to a central office can be entered into Line 63 of the Expense tab. A financial document will need to be submitted when cost reports are submitted.
Filling out the cost report training videos
Introduction Webinar: Cost Survey Process for West Virginia
May 25, 2023
In this presentation, MSLC staff reviewed the two parts of the rate build process: cost report surveys and rate models. The cost report was shared at a high level and there was a discussion around the different parts of the cost report- organization information, expenses, staffing pay, and service-specific information.
IDD Policy Clarification Call- Guest presentation on the Cost Survey Process
June 1, 2023
In this guest presentation, MSLC staff reviewed in brief the two parts of the rate build process. We discussed the timeline of the rate setting process and the role of providers in sharing information through the cost reporting survey.
Update to IDD Stakeholders: October 5, 2023
October 5, 2023
In this update, MSLC staff shared the number and service makeup of cost reports received, and discussed the response to questions in the cost survey regarding direct service shift coverage.
Update to ADW/PC/TBI Stakeholders: October 13, 2023
October 13, 2023
In this update, MSLC staff shared the number and service makeup of cost reports received, and discussed the response to questions in the cost survey regarding direct service shift coverage, with a specific focus on ADW/PC/TBI providers.
Feedback
Please use this information and links below for details on past and future trainings. For any questions, please email WVCostReports@mslc.com.
IDD Focus Group A
Several providers who deliver services under the IDD waiver attended a focus group to discuss sections of the cost report in detail. The names of attendees, and the notes of this conversation are available below. Thank you to the attendees for the valuable feedback!
IDD Focus Group B
Several providers who deliver services under the IDD waiver attended a focus group to discuss sections of the cost report in detail. The names of attendees, and the notes of this conversation are available below. Thank you to the attendees for the valuable feedback!
Cost report updates as a result of focus group feedback
Sheet – Description of update
Instructions tab – Training Modules section has been updated to split out AMAP initial training vs. renewal training.
Questions tab – Added question re: admin and program related staff providing direct service provision, including text box for additional comments. Providers should use this section to describe the impact that direct staff shortages have on program/admin staff time filling in to deliver services.
Staffing tabs – Added column for # of employees, updated informational icons, and updated macros due to added column. This is to clarify that positions are being reported by group or type of position, rather than by person.
Direct Staffing tab – Position titles updated to reflect agency descriptions of staff.
Transportation tab – Med Mgmt – Added additional questions around AMAP staffing.
Service tabs – have been updated based upon feedback of the focus groups. Additional changes were made based upon follow up conversations with state program staff.
*****Cost report workbooks and training materials will be available on or before July 7th****
