This program will provider Michigan skilled nursing facility leaders with 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. This program will also provide an update related to Medicare reimbursement, and managed care trends. This program will also provide observations and trends derived from the PM 2026 SNF Benchmarking report recently issued.

Learner Objectives:

1. Describe the changes in Medicaid rate setting, settlement, audit, and related variable cost and plant limits for SFY 25-26, along with upcoming SFY 26-27 changes.
2. Discuss Medicare reimbursement updates. 
3. Discuss finding in PM 2026 SNF Benchmarking Report.