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Last Updated on:
05/02/08
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Oregon: Medicaid
Oregon's Medicaid
Nursing Home Provider Specific Tax (PST)
July 2003
The 2003 Oregon
Legislature enacted House Bill 2747 which allows the Department of Human
Services (DHS) to charge licensed nursing homes in Oregon a quality assurance
fee (better known as a provider specific tax) on occupied beds to help increase
Medicaid payments to providers.
Here are the key points of HB 2747:
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With a few exceptions,
every nursing home in Oregon will be subject to the fee. Assisted living
facilities, residential care facilities, adult foster homes and group homes are
excluded from the assessment.
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The assessment is $8.25
per nursing home resident day. If the Centers for Medicare and Medicaid Services
(CMS) approve the State's waiver, the assessment will increase to approximately
$8.85 per day.
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The assessment only
applies to occupied beds.
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All nursing facility days
(Medicaid, Medicare, private, insurance and managed care) are subject to the
fee.
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The money collected from
the assessment is required to be used only to increase Medicaid payments for
nursing home care.
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The effective date of the
assessment is July 1, 2003. The assessment for July 1, 2003 through December 31,
2003 will be due at an as yet undetermined date. DHS is currently working on the form that
will be required to be filed.
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The Medicaid rate for
basic care at 7/1/03 will be increased from $111.35 to $136.88. Facilities
should see a retroactive payment for this period about the same time as their
payment is due.
We recommend recording a
receivable for the retroactive payment and accrual for the assessment due at
year-end.
If you have any questions, please contact
Ray Whitlow at (503) 244-2134 extension 226.
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