MedicaidAdministrativeLow impact
Nursing Facility Bulletin 200: Updated Reporting on Staff Hours and Staffing Preparedness for Nursing Facilities
MassHealth·MA·Specialty Services
Effective date
Oct 1, 2025
We identified it
Jun 18, 2026
Summary
MassHealth updated nursing facility reporting requirements for staff hours and staffing preparedness, effective October 1, 2025. This bulletin supersedes Nursing Facility Bulletin 182 and establishes new downward adjustment percentages for facilities failing to meet minimum staffing levels of 3.58 Hours Per Patient Day (HPPD).
Action Required
Nursing facilities only: Continue quarterly PBJ reporting to CMS by the 45th calendar day after each quarter. Maintain detailed payroll records including exempt, non-exempt, and contract hours by staff category. Billing teams at nursing facilities should ensure accurate census and staffing documentation to avoid downward rate adjustments ranging from 0.5% to 3% based on HPPD calculations.