Nursing Facilities (NF) Private Reimbursement Pay Rate
We have recently become aware that some Medicaid participating nursing facilities are retaining money they are required
to refund to residents when Medicaid eligibility is made retroactive. The purpose of this letter is (1) to clarify the
Medicaid requirements concerning treatment of private rate payments for nursing facility (NF) services rendered during
the period of time the resident's application for Medicaid is being processed and (2) to ask you to actively and
aggressively enforce these requirements.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 25, 1998
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.