Senior Manager, Angelica Clark Hester
Nursing Home Providers
- Covers institutional care for recipients who are unable to remain at home or in the community.
- The quality of nursing home care is regulated by Healthcare Facility Regulation, a division of the Georgia Department of Community Health.
- Reimbursement Rates: Per diem rates are calculated from standardized cost reports. Allowable costs are determined using department policy, federal principles of reimbursement and audits of cost reports. Effective July 1, 2014, the 2012 cost reports are used to compute reimbursement rates.
If your facility has received certifications from Joint Commission or the American Health Care Association (AHCA), please see chart below to determine the total Quality Incentive percentage applicable for your facility.
Nursing Hours | MyInnerView (Inclusive of AHCA Bronze Accreditation) | AHCA Silver Accreditation | AHCA Gold Accreditation | Joint Commission Accreditation | Total Quality |
---|---|---|---|---|---|
(Max 1%) | (Max 2%) | (Max 1%) | (Max 2%) | (Max 2%) | |
1% | 1% | 2% | |||
1% | 1% | 1% | 3% | ||
1% | 1% | 2% | 4% | ||
1% | 1% | 2% | 4% | ||
1% | 1% | 1% | 2% | 5% | |
1% | 1% | 2% | 2% | 6% | |
1% | 2% | 3% | |||
1% | 2% | 1% | 4% | ||
1% | 2% | 2% | 5% | ||
1% | 2% | 2% | 5% | ||
1% | 2% | 1% | 2% | 6% | |
1% | 2% | 2% | 2% | 7% |
Reimbursement rates are calculated quarterly (July 1, October 1, January 1, and April 1). The Reimbursement rates for FYE June 30, 2022, are located below.
April 1, 2022 (13.37% Growth, Quality Incentive and audited 2018 GL/PL Insurance Costs)
Please note that the reimbursement rate sheets (R-32) are in numerical order. The rate sheets can also be found using the “Search or Find” feature on your PDF reader.
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Revised Billing Rate Letter - Posted 04/01/22
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Provider Reimbursement Rate Listing - Posted 04/01/22
- Provider Reimbursement Rate Sheets
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All Provider Reimbursement Rate Sheets - Posted 04/01/22
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January 1, 2022 (13.37% Growth, Quality Incentive and audited 2018 GL/PL Insurance Costs)
Please note that the reimbursement rate sheets (R-32) are in numerical order. The rate sheets can also be found using the “Search or Find” feature on your PDF reader.
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Revised Billing Rate Letter - Posted 01/04/22
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Provider Reimbursement Rate Listing - Updated 03/31/22
- Provider Reimbursement Rate Sheets
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All Provider Reimbursement Rate Sheets - Updated 03/31/22
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October 1, 2021 (13.37% Growth, Quality Incentive and audited 2018 GL/PL Insurance Costs)
Please note that the reimbursement rate sheets (R-32) are in alphabetical order. Rate sheets can also be found using the "Search or Find" feature on your PDF reader.
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Revised Billing Rate Letter - Posted 10/01/21
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Provider Reimbursement Rate Listing - Updated 02/17/22
- Provider Reimbursement Rate Sheets
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All Provider Reimbursement Rate Sheets - Posted 02/17/22
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July 1, 2021 (13.37% Growth, Quality Incentive and audited 2018 GL/PL Insurance Costs)
Please note that the reimbursement rate sheets (R-32) are in alphabetical order. Please locate the PDF file where the Provider's Name would fall. Open the PDF and scroll down to the Provider R-32 you need and print.
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Revised Billing Rate Letter - Posted 07/07/21
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Provider Reimbursement Rate Listing - Updated 02/17/22
- Provider Reimbursement Rate Sheets
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All Provider Reimbursement Rate Sheets - Posted 02/17/22
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The Department of Community Heath received approval from the Center of Medicare and Medicaid Services (CMS) for a temporary 5% growth increase effective July 1, 2020 through June 30, 2021 for all nursing home providers. The Department also received approval for quality incentives related to the Joint Commission and American Health Care Association (AHCA) Accreditation effective August 14, 2020. Reimbursement rates have been recalculated effective July 1, 2020 through June 30, 2021. Please see the revised rate sheets below.
The Reimbursement rates for FYE June 30, 2021, are located below.
April 1, 2021 (revised rates inclusive of 18.37% Growth and Quality Incentive)
Please note that the reimbursement rate sheets (R-32) are in alphabetical order. Please locate the pdf file where the Provider's Name would fall. Open the pdf and scroll down to the Provider R-32 you need and print.
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Provider Reimbursement Rate Listing - Updated 02/17/22
- Provider Reimbursement Rate Sheets
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All Provider Reimbursement Rate Sheets - Posted 02/17/22
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Initial rate sheets for April 1, 2021 are located on the archive page.
January 1, 2021 (revised rates inclusive of 18.37% Growth and Quality Incentive)
Please note that the reimbursement rate sheets (R-32) are in alphabetical order. Please locate the pdf file where the Provider's Name would fall. Open the pdf and scroll down to the Provider R-32 you need and print.
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Provider Reimbursement Rate Listing - Updated 02/17/22
- Provider Reimbursement Rate Sheets
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All Provider Reimbursement Rate Sheets - Posted 02/17/22
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Initial rate sheets for January 1, 2021 are located on the archive page.
October 1, 2020 (revised rates inclusive of 18.37% Growth and Quality Incentive)
Please note that the reimbursement rate sheets (R-32) are in alphabetical order. Please locate the pdf file where the Provider's Name would fall. Open the pdf and scroll down to the Provider R-32 you need and print.
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Provider Reimbursement Rate Listing - Updated 02/17/22
- Provider Reimbursement Rate Sheets
-
All Provider Reimbursement Rate Sheets - Posted 02/17/22
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Initial rate sheets for October 1, 2020 are located on the archive page.
August 14, 2020 (revised rates inclusive of 18.37% Growth and Quality Incentive)
Please note that the reimbursement rate sheets (R-32) are in alphabetical order. Please locate the pdf file where the Provider's Name would fall. Open the pdf and scroll down to the Provider R-32 you need and print.
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Revised Billing Rate Letter - Posted 06/29/2021
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Provider Reimbursement Rate Listing - Updated 02/17/22
- Provider Reimbursement Rate Sheets
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All Provider Reimbursement Rate Sheets - Posted 02/17/22
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July 1, 2020 (revised rates inclusive of 18.37% Growth)
Please note that the reimbursement rate sheets (R-32) are in alphabetical order. Please locate the pdf file where the Provider's Name would fall. Open the pdf and scroll down to the Provider R-32 you need and print.
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Revised Billing Rate Letter - Posted 06/29/2021
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Provider Reimbursement Rate Listing - Posted 06/29/21
- Provider Reimbursement Rate Sheets
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A.G. Rhodes Home Cobb - Budd Terrace 07 2020 - Posted 06/29/21
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Calhoun Health Care - Dunwoody Health 07 2020 - Posted 06/29/21
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Eagle Health - Jonesboro Nursing 07 2020 - Posted 06/29/21
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Kentwood - Palemon Gaskins 07 2020 - Posted 06/29/21
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Park Place - PruittHealth West Atlanta 07 2020 - Posted 06/29/21
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Quiet Oaks - SylView Health 07 2020 - Posted 06/29/21
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Tara at Thunderbolt - Zebulon Park 07 2020 - Posted 06/29/21
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Initial rate sheets for July 1, 2020 are located on the archive page.
The Reimbursement rates for FYE June 30, 2020, are located on the archive page.
Please note that you will still have to access the Myers & Stauffer Web Portal (https://myersandstauffer.com/client-portal/georgia/) in order to download the Preliminary and Final Listing of Resident file.
Senior Manager, Angelica Clark Hester
Director of Reimbursement, Kim Morris