Reimbursement Page ContentThe AHCA/NCAL Reimbursement Policy & Market Strategy team focuses on important issues federal policy issues impacting Medicare and Medicaid, as well as market strategies such as Population Health Management. We also provide updates on important payment policy-related regulations, such as the Medicaid Fiscal Accountability Regulation, Medicaid block grants, and the Patient-Driven Payment Model. Medicaid Fiscal Accountability Proposed Regulation (MFAR) The Centers for Medicare and Medicaid Services (CMS) issued a proposed Medicaid Fiscal Accountability Regulation on November 11th, 2019 that impacts provider assessments and upper payment limit (UPL) programs. While CMS states its aim is to "eliminate state financing gimmicks," it is important to note that CMS is not proposing to eliminate provider tax, inter-governmental transfers (IGT), and supplemental payments. Nevertheless, this rule would have significant negative impacts on funding. Resources Webinar: How MFAR Impacts Your State’s Provider Tax Program IGT Brief Provider Taxes Brief Analysis of State Nursing Home Provider Tax Programs (Map)AHCA/NCAL MFAR Comments to CMSAHCA/NCAL Press Statement: Health Care Leaders Voice Concerns Over Proposed CMS Medicaid Regulations Untitled [1] PDPM Resource CenterPDPM Resource CenterAHCA continues to provide PDPM resources to support members in navigating the new payment system. Learn More MedicaidMedicaidMore than two-thirds of those of those who receive care in skilled nursing care centers rely on Medicaid for their daily care. Learn more about this program in long term care. Learn More MedicareMedicareMedicare plays a crucial role for seniors requiring post-acute or rehabilitation care in a skilled nursing care center. Learn more about recent Medicare policies. Learn More Population Health ManagementPopulation Health ManagementPopulation Health Management is a discipline within health care that studies and delivers care across a specific group of people. Learn More State of the StatesState of the StatesThe AHCA/NCAL State of the States Clearinghouse is a one stop shop for key Medicaid and Medicare information impacting the long term care profession. Learn More SNF Value-Based PurchasingSNF Value-Based PurchasingPreventing hospital readmissions whenever possible is beneficial to patients and has been identified as an opportunity to reduce overall health care system costs. Learn More Resources & Documents Medicare Resources 2019 Medicare Part B Fee ScheduleObservation StaysMedicare AdvantageMedicare-Medicaid Dual EligiblesICD-10Comprehensive Care for Joint Replacement (CJR) Medicaid Resources Webinar: How MFAR Impacts Your State’s Provider Tax ProgramIGT BriefProvider Taxes BriefAnalysis of State Nursing Home Provider Tax Programs (Map)Medicare-Medicaid Dual Eligibles External Links CMS Medicaid Fiscal Accountability Proposed RegulationCMS State Medicaid Block Grant GuidanceCenter for Program Integrity Reimbursement Issue Briefs Protect & Preserve Medicaid FundingManaged CareMedicaid Provider Assessments Questions? PDPM:pdpm@ahca.orgMFAR:medicaidfiscalrule@ahca.orgPopulation Health Management:phm@ahca.org Important Dates October 2020:71st AHCA/NCAL Virtual Convention & ExpoDecember 7-8, 2020: Population Health Management Summit