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August 29, 2006
 
MEDICAID INFORMATION RELEASE MA06-31
 
TO:                 Home Health Providers
 
FROM:           Leslie M. Clement, Administrator
 
SUBJECT:     HOME HEALTH MEDICAID CAPS
 
This information release summarizes all Medicaid caps with effective dates of service from July 1, 2001 through June 30, 2007.  The following table summarizes these Medicaid caps which are used to calculate all home health agency cost settlements (See IDAPA 16.03.09.720 – IDAPA 16.03.09.725 for information).
 
 
Medicaid Cap
 
7/1/01-6/30/02
7/1/02 – 6/30/03
7/1/03 – 6/30/04
7/1/04 – 6/30/05
7/1/05 – 6/30/06
7/1/06 – 6/30/07
Skilled Nursing
$126.66
$132.62
$158.15
$180.41
$204.94
$219.96
Physical Therapy
$108.88
$135.12
$127.39
$124.12
$138.70
$118.63
Occupational Therapy
$118.91
$138.03
$137.09
$127.77
$135.03
$124.61
Home Health Aide
$54.21
$56.35
$66.84
$88.10
$78.64
$75.00
 
If you have any questions please contact Sheila Pugatch, Principal Financial Specialist for the Medicaid Office of Reimbursement Policy, at (208) 364-1817.  Thank you for your continued participation in the Idaho Medicaid program.
 
LC/sp