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 Health 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.

Reimbursement rates are calculated quarterly (July 1, October 1, January 1, and April 1).  The Reimbursement rates for FYE June 30, 2021, are located below.

January 1, 2021 (revised rates inclusive of 13.37% Growth and audited 2018 GL/PL Insurance Costs).

The following documents are attached:

October 1, 2020 (revised rates inclusive of 13.37% Growth and audited 2018 GL/PL Insurance Costs)

July 1, 2020 (revised rates inclusive of 13.37% Growth 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.

The Reimbursement rates for FYE June 30, 2020, are located below.

July 1, 2019 (revised rates inclusive of 13.37% Growth and audited 2018 GL/PL Insurance Costs)

October 1, 2019 (revised rates inclusive of 13.37% Growth and audited 2018 GL/PL Insurance Costs)

January 1, 2020

Provider Reimbursement Rate Sheets 

April 1, 2020

Provider Reimbursement Rate Sheets

Please note that you will still have to access the Myers & Stauffer Web Portal (https://gacasemixreports.mslc.com/) in order to download the Preliminary and Final Listing of Resident file.