Change of Ownership

Pending CMS approval, nursing facilities that had a change of ownership during the period January 1, 2012 through June 30, 2014 are eligible to receive an adjustment to their Medicaid reimbursement rate effective July 1, 2015 based on the facility’s cost under the new owner. The first cost report ending June 30th that contains a least six months of cost under the new owner will be used to establish the new rate effective July 1, 2015. If there is not a cost report ending June 30th that contains at least six months of cost under the new owner available when establishing the July 1, 2015 rate, cost report information covering from the date of change in ownership through December 31, 2014 will be used.

Please complete and sign the Request for Rate Adjustment and Attestation of Change of Ownership to an Unrelated Party form below and email or mail to:

If you are submitting cost and patient day information for the period ending December 31, 2014, please complete the appropriate 2014 cost report form below and email to [email protected] along with the Request for Rate Adjustment and Attestation of Change of Ownership form. The deadline for submission of all information is September 15, 2015..If a provider needs additional time to complete cost report forms for the period ending December 31, 2014, please email a request for the additional time to Darryl Threat at [email protected]. All Attestation forms still have to be received by September 15, 2015 in order to receive the rate adjustment.