This session will provide Michigan skilled nursing facilities an overview of the changes for Medicaid rate setting, initial and final settlements, and related limits as allowed by the State Medicaid system, including QAS and QMI. We will also provide an update related to Medicare reimbursement, and managed care trends. Finally, we will also provide observations and trends derived from the PM 2025 SNF benchmarking report recently issued.

Nurse Learner Outcome: At the conclusion of this educational activity, 80% of the participants will self-report on the post session evaluation a knowledge gain of potential changes to Medicaid reimbursement for FY 2025 and potential impact on reimbursement, and access to relevant operating benchmarking information.

Learner Objectives:

1. Describe the changes in Medicaid rate setting, settlement, audit and related variable cost and plant limits for SFY 24-25, along with upcoming SFY 25-26 changes.
2. Discuss Medicare reimbursement Update.
3. Identify 2 major findings findings in PM 2025 SNF Benchmarking Report.