Nursing Facilities: Increase Your Medicaid Reimbursement with Infection Control Strategies from CMS

Today, CMS released a Medicaid Informational Bulletin (CIB) that provides guidance to states on flexibilities that are available to increase reimbursement for nursing facilities that implement specific infection control practices, such as designating a quarantine or isolation wing for COVID-19 patients.

Today’s guidance highlights specific steps some states have taken to better support nursing facilities’ ability to safely care for all residents, including COVID-19 positive residents, and how enhanced reimbursement supported those efforts. 

The CIB includes information on the Disaster State Plan Amendments (SPA) template and describes how states may use state-directed payments to increase reimbursement to nursing facilities in managed care.  Today’s release encourages states to utilize the flexibilities that are available and in alignment with applicable Centers for Disease Control guidance and coordinated with the state agency responsible for nursing facility compliance.

Click here to read the Center for Medicaid and CHIP Services Informational Bulletin for Medicaid Reimbursement Strategies.