The Division of Medicaid Services (DMS) has expressed their intent to begin reducing rates, by 25%, beginning on September 1^st for facilities who have not yet submitted the newly required checklist items.

Per Section 1.30 of the Methods, DMS will be reducing the rates of facilities that have not submitted the documents requested in the desk review checklist. The reductions will be effective for 9/1/23 and they will be notifying the relevant facilities shortly.

An e-mail went out on 6/15/23 to all registered WINHRS users and required the following documents by 7/14/23:

1. Completed checklist
2. Signed attestation
3. Depreciation information (see checklist, Sch. 34). This would be either:
   • 2021 audit adjustment workbook with new entries for asset additions/deletions in 2022 in Excel format, OR
   • A revised detailed depreciation schedule.
4. Other documentation listed in the checklist.

According to DMS, as of 8/14/23, many facilities have not added anything to their stat-log since the initial request. Facilities must submit at a minimum all three of these documents to avoid or reverse the rate reduction.

When a facility adds documentation in WINHRS, the assigned auditor gets an e-mail notification that documentation has been submitted. The auditors will review the notifications and will check that the facility submitted the required documentation.

WHCA/WiCAL has expressed frustration at this news as it had originally been explained that facilities with submissions past the July 14^th due date would not be monetarily penalized but would be moved to the back of the line for auditing. This September 1^st due date is abrupt and allows many providers, who have been working toward their submissions, very little time to comply.

WHCA/WiCAL CEO Rick Abrams has responded to the Division requesting a delay of this deadline by 30 days to October 1^st. Please note however, at this time, they are working with the September 1^st date. We will be contacting members with outstanding documentation as well and will announce any updates or changes as they occur.

Please contact Vice President of Reimbursement Policy Kate Dickson with questions.