VA263-17-R-1094-005.xlsx

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FY2018 NH MEDICAID Solicitation Change over Black Hills site to Medicare Rug rates. Submit proposals on MEDICARE Solicitation VA263-17-R-1093 Federal contract opportunity
Solicitation number
VA26317R1094
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23

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VA263-17-R-1094 SO2 ILLINOIS PRICING SCHEDULE - FINAL.xlsx

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Other files attached to FY2018 NH MEDICAID Solicitation Change over Black Hills site to Medicare Rug rates. Submit proposals on MEDICARE Solicitation VA263-17-R-1093, newest first.
File Type Posted
VA263-17-R-1094-0003004.docx DOCX document
VA263-17-R-1094-0002000.docx DOCX document
VA263-17-R-1094-0001000.docx DOCX document
VA263-17-R-1094-008.xlsx XLSX spreadsheet
VA263-17-R-1094-009.docx DOCX document
VA263-17-R-1094-006.xlsx XLSX spreadsheet
VA263-17-R-1094-007.docx DOCX document
VA263-17-R-1094-002.docx DOCX document
VA263-17-R-1094-004.pdf PDF
VA263-17-R-1094-011.docx DOCX document
VA263-17-R-1094-001.docx DOCX document
VA263-17-R-1094-003.pdf PDF
VA263-17-R-1094-010.xls XLS spreadsheet
VA263-17-R-1094-000.docx DOCX document
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ILLINOIS 48 Grouper CLINS

Illinois Nursing HomesPlease List Your Medicaid
Price/Cost ScheduleReimbursement Rate Box (D3)
MEDICAID RATERUG 48 Category
CLINMedicaidBase RatesPercentage Add-OnMedicaidPer Diem Rates
0001VA Basic Care Rate
0001AVA Reduced Phy FunctioningPA1, PA2, PB1, PB2, PC1
PC2, PD1, PD2, PE1, PE2
0001BVA Cognitive PerformanceBA1, BA2

0001C VA Behavior Symptoms BB1, BB2

0002VA Clinically ComplexCA1, CA2, CB1, CB2, CC1
CC2, CD1, CD2, CE1, CE2
0003VA Special Care LowLB1, LB2, LC1, LC2, LD1
LD2, LE1, LE2
0004VA Special Care HighHB1, HB2, HC1, HC2,HD1
HD2, HE1, HE2
0005VA Extensive ServiceES1, ES2, ES3

0006 VA Light Rehabilitation RAA, RAB

0007 VA Heavy Rehabilitation RAC, RAD, RAE

0008VA Specialized CareN/A
0008ADementia/Alzheimer's Unit
0008BYoung Adult Program
0008CHIV/AIDS Unit
0008DClinitron Dependent
Calculations utilized are based upon Illinois Department of Public Health
Medicare Reimbursement Rates, effective Date:

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