AGING AND DISABILITY SERVICES ADMINISTRATION
2005 NH "Dear Administrator " Letters
February 17, 2005
ADSA: NH #2005-003
2004 Medicaid Revenue and Census Report
Dear Nursing Facility/Home Administrator:
Please share the enclosed Medicaid Revenue and Census (MRC) report with whoever completes your 2004 Medicaid Nursing Facility Cost Report form. Use of this MRC report is optional. The MRC report is provided for your convenience.
If you wish, this report may be used to complete Schedules M and M-1 of your Cost Report. These schedules show Medicaid days and Medicaid interim payments for 2004. Schedule M-1 is an optional schedule that can be prepared by summarizing all remittance advices received during 2004. Instead of summarizing all 2004 remittance advices on Schedule M-1, you may choose to use the enclosed MRC report plus your February and March 2005 remittance advices. The MRC report reflects Medicaid days and payments shown on remittance advices sent to you up through January 31, 2005. If you add to those days and payments the amounts reflected on remittance advices you received between February 1, 2005 and the time you send in your cost report, Schedule M-1 will be complete to date.
The enclosed MRC report will be the only reconciliation report mailed. The department will no longer mail the large Medicaid Management Information System report (also known as the MMIS report).
Thank you for your continued cooperation. If you have any questions, please call your assigned analyst. If you do not know your assigned analyst, please call (360) 725-2498.
Sincerely,
Tom Kearns, Chief
Office of Rates Management
Enclosure
