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Iowa Medicaid Nursing Facility (NF) Day-Weighted CMI Monthly Training Session Registration

In 2021, the Iowa Legislature directed Iowa Medicaid to evaluate the technical aspects of the case mix reimbursement system and rebasing processes. 

 A workgroup was established in July 2021, to review existing processes and identify mechanisms to reduce or eliminate retrospective payments during the bi-annual nursing facility rebasing process. The workgroup identified and evaluated pros and cons associated with each of these components. That information was utilized to develop comprehensive recommendations to improve the nursing facility rate setting and payment process.

The budget-neutral changes will help to modernize the case mix system and increase efficiencies in the rebasing processes. The updates will assist in stabilizing swings in nursing facility rates and significantly reduce impacts of retrospective rates. The changes include:


      Updating rates semi-annually using a day-weighted average Medicaid CMI effective July 1, 2023.

      Iowa Medicaid issuing rates as review of cost reports for individual providers are completed, rather than waiting for all cost report reviews to be completed.


Iowa Medicaid will conduct virtual provider training sessions regarding the NF day-weighted CMI methodology via Zoom. The Zoom training will be conducted monthly from March through December 2022, to allow providers the opportunity to attend one or multiple training sessions.


Training sessions will include:

              the methodology used for case mix classification

              the purpose of the case mix roster

              how to read the case mix roster

              review of preliminary rosters

              general calculation guidelines

              determination of payer source


A frequently-asked question (FAQ) document will be developed from questions received during the live presentation. The FAQ document and PowerPoint materials will be posted on the DHS website at a later date.

Iowa Medicaid NF Day-Weighted Case Mix Index (CMI) Methodology Training Sessions

March 30, 2022

3:00 PM – 4:00PM

April 27, 2022

3:00 PM – 4:00PM

May 25, 2022

3:00 PM – 4:00PM

June 29, 2022

3:00 PM – 4:00PM

July 27, 2022

3:00 PM – 4:00PM

August 31, 2022

3:00 PM – 4:00PM

September 28, 2022

3:00 PM – 4:00PM

October 26, 2022

3:00 PM – 4:00PM

November 30, 2022

3:00 PM – 4:00PM

December 28, 2022

3:00 PM – 4:00PM

These meetings will be held virtually, login credentials for the meeting will be shared the week of the event with those who have registered.