ERIC Number: EJ876654
Record Type: Journal
Publication Date: 2010-Apr
Abstractor: As Provided
Reference Count: N/A
Florida's Model of Nursing Home Medicaid Reimbursement for Disaster-Related Expenses
Thomas, Kali S.; Hyer, Kathryn; Brown, Lisa M.; Polivka-West, LuMarie; Branch, Laurence G.
Gerontologist, v50 n2 p263-270 Apr 2010
Purpose: This study describes Florida's model of Medicaid nursing home (NH) reimbursement to compensate NHs for disaster-related expenses incurred as a result of 8 hurricanes within a 2-year period. This Florida model can serve as a demonstration for a national model for disaster-related reimbursement. Design and Methods: Florida reimburses NHs for approved disaster-related costs through hurricane interim rate requests (IRRs). The state developed its unique Medicaid per diem rate temporary add-on by adapting its standard rate-setting reimbursement methodology. To understand the payment mechanisms and the costs that facilities incurred as a result of natural disasters, we examined the IRRs and cost reports for facilities requesting and receiving reimbursement. Results: Cost reports and IRR applications indicated that Florida Medicaid spent close to $16 million to pay for hurricane-related costs to NHs. Implications: Without Florida's Hurricane IRR program, many facilities would have not been reimbursed for their hurricane-related costs. Florida's model is one that Medicare and other states should consider adopting to ensure that NHs receive adequate reimbursement for disaster-related expenses, including tornadoes, earthquakes, floods, blizzards, and other catastrophic events.
Descriptors: Expenditures, Natural Disasters, Nursing Homes, Health Facilities, Costs, Health Services, Federal Programs, State Federal Aid, Eligibility, Low Income Groups, Disabilities, Models, Weather
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Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Authoring Institution: N/A
Identifiers - Location: Florida