VA263-17-R-1094-006.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 S02 IOWA 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-1094-004.pdf PDF
VA263-17-R-1094-008.xlsx XLSX spreadsheet
VA263-17-R-1094-009.docx DOCX document
VA263-17-R-1094-007.docx DOCX document
VA263-17-R-1094-002.docx DOCX document
VA263-17-R-1094-011.docx DOCX document
VA263-17-R-1094-001.docx DOCX document
VA263-17-R-1094-005.xlsx XLSX spreadsheet
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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IOWA RUGS III CLINS

Iowa Nursing HomesPlease List Your Medicaid
Price/Cost ScheduleReimbursement Rate box (D3)
MEDICAID RATERUGS III Category
CLINMedicaid Base RatesPercentage Add-OnMedicaid Per Diem Rates
0001VA Basic Care Rate
0001AVA Reduced Phy FunctioningPA1, PA2, PB1, PB2, PC1
PC2, PD1, PD2, PE1, PE2

0001B VA Behavior Problems BA1, BA2, BB1, BB2

0001C VA Impaired Cognition IA1, IA2, IB1, IB2

0002VA Clinically ComplexCA1, CA2, CB1, CB2, CC1
CC2
0003VA Special CareSSA, SSB, SSC

0004 VA Extensive Service SE1, SE2, SE3

0005 VA Light Rehabilitation RAA, RAB

0006 VA Heavy Rehabilitation RAC, RAD

0007VA Rehabilitation +N/A
Extensive Services
0008VA Specialized CareN/A
0008ADementia/Alzheimer's Unit
0008BYoung Adult Program
0008CHIV/AIDS Unit
0008DClinitron Dependent
Calculations utilized are based upon Iowa Department of Human Services
Medicaid Reimbursement Rates, effective Date:

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