MedicaidReimbursementLow impact
Senior Services News Vol. 9, No. 01
New Jersey Medicaid·NJ·Provider Notice
Effective date
Aug 31, 2005
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid is distributing up to $18 million in supplemental funding to nursing facilities with ≥75% Medicaid occupancy. Facilities must submit accurate Medicaid occupancy data via the Facility Occupancy Statement form by August 31, 2005, to qualify for interim per diem rate adjustments. Overpayments from inaccurate submissions will be recouped at 100%.
Action Required
By August 31, 2005: Nursing facility administrators must complete and submit the Facility Occupancy Statement form with original signature and supporting documentation to the Office of Nursing Facility Rate Setting and Reimbursement via certified mail. The form must be completed in pen with no erasures or corrections. Required data includes: (1) number of Medicaid beneficiaries receiving payment as of 6/30/05, (2) Medicaid applicants/approved beneficiaries anticipated to receive payment as of 6/30/05, and (3) residents for whom facility received prior Medicaid reimbursement but billed Medicare as of 6/30/05. Submit patient name lists with Medicaid numbers (exclude Social Security numbers). Failure to submit by the deadline renders the facility ineligible for supplemental payment. Before April 30, 2006, verify occupancy rates; facilities found below 75% threshold will have interim payments recouped immediately at 100%. Any facility concerns must be raised prior to April 1, 2006.