Ops Memo 2013-46: EAEDC: Rest Home Rate Changes and Automated Recalculation of Benefits

Overview
The Executive Office of Health and Human Services (EOHHS), working with the Center for Health Information and Analysis (CHIA) approved new public per diem rates for Massachusetts rest homes, effective July 1, 2013. Additionally, rest homes were approved for a separate rate, effective June 1, 2013 through June 30, 2013, as a result of funds earmarked for rate increases for residential care facilities in the 2013 fiscal year budget.

CHIA is an independent state agency that collects health care costs and quality information for analysis, and assists EOHHS in the formulation of health care policy, including the determination of public per diem rates for residential care facilities. CHIA replaced the Division of Health Care Finance and Policy (DHCFP).

Purpose of Memo
This Operations Memo: 

• describes the process for adding the rest home rate changes in BEACON public per diem rate effective June 1, 2013 through June 30, 2013, and rates effective for July 1, 2013 going forward;
• informs staff about the automated recalculation of clients’ EAEDC benefits, using the updated rates;
• informs staff about the issuance of retroactive payments owed to clients for each rate period; and
• advises staff about the centralization and automation of all future rest home rate changes. 

This Operations Memo is informational. No case manager action is necessary.

Obsolete Memo
This Operations Memo obsoletes Field Operations Memo 2009-50.