VA263-17-R-0005-A00016001.xlsx
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- VA26317R0005
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VA263-17-R-0005 A00016 Missouri Cost-Price Schedule.xlsx
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MISSOURI RUGS IV
| Missouri Nursing Homes | Please List Your Medicaid | ||||
| Price/Cost Schedule | Reimbursement Rate Box (D3) | ||||
| MEDICAID RATE | RUG IV Description of Care | ||||
| CLIN | MedicaidBase Rates | Percentage Add-On | MedicaidPer Diem Rates | ||
| 0001 | VA Basic Care Rate | ||||
| 0001A | VA Reduced Phy Functioning | PA1, PA2, PB1, PB2, PC1 | |||
| PC2, PD1, PD2, PE1, PE2 | |||||
| 0001B | VA Cognitive Performance | BA1, BA2 |
0001C VA Behavior Symptoms BB1, BB2
| 0002 | VA Clinically Complex | CA1, CA2, CB1, CB2, CC1 |
| CC2, CD1, CD2, CE1, CE2 | ||
| 0003 | VA Special Care Low | LB1, LB2, LC1, LC2, LD1 |
| LD2, LE1, LE2 | ||
| 0004 | VA Special Care High | HB1, HB2, HC1, HC2,HD1 |
| HD2, HE1, HE2 | ||
| 0005 | VA Extensive Service | ES1, ES2, ES3 |
0006 VA Rehabilitation RUC, RUB, RUA, RVC, RVB, RVA, RHC, RHB, RHA, RMC, RHB, RHA, RLB, RLA
0007 VA Rehabilitation Plus Extensive RUX, RUL, RVX, RVL, RHX, RHL, RMX, RML, RLX
| 0008 | VA Specialized Care |
| 0008A | Dementia/Alzheimer's Unit |
| 0008B | Young Adult Program |
| 0008C | HIV/AIDS Unit |
| 0008D | Clinitron Dependent |
| Calculations utilized are based upon Missouri Department of Public Health | |
| Medicaid Reimbursement Rates, effective Date: |
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