With time running out to comply with what could be a $240 million generator mandate handed down by Gov. Rick Scott, nursing-home administrators and long-term care lobbyists left a meeting without an indication of what, if anything the state will do to help offset the costs.
Members of a nursing-home payment workgroup may have to wait until November before state Medicaid officials discuss generators and whether the facilities can be reimbursed under an existing cost-based reimbursement system that has been in effect for more than 20 years or through a prospective payment system that starts in October 2018. Under a prospective payment system, facilities receive prepaid fixed amounts.
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