JCHC Board Discusses Medicaid Gap For Nursing Home Care

JCHC Board Discusses Medicaid Gap For Nursing Home Care

At their last meeting the Johnson County Healthcare Center's Board of Trustees discussed Medicaid, the gap between their reimbursements and actual costs for the nursing home, and the point system for resident patients.

Brenda Goarm, Director of the Amie Holt Care Center, said that 66% of the 38 residents in the nursing home are paid by Mediciaid.
To qualify for Mediciad, residents must score at least a 13 on the LT101 assessment which is administered by the public health nurse. It measures their independence on a scale of zero to three or four in ten different categories, with zero as the most independent.

The average score for residents in the AHCC is 20.5 points, according to Goarm.

The most that Medicaid pays the nursing home for care is $186.15 per day, but the cost of care to the facility is roughly $240 per day, according to Hospital Administrator Sandy Ward. Private pay rates are below cost as well at about $210 per day.

Medicaid hasn't increased their payout to these facilities in over four years, Ward said.

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