These are current rates, which Medicaid is reimbursing Medicaid nursing homes for services provided to Medicaid recipients. Rates published are effective as of the first day of the rate semester. For additional information, please contact Recipient and Provider Assistance (RPA) at 1-877-254-1055.
Reimbursement Plans
- Long-Term Care
Florida Title XIX Long-Term Care Reimbursement Plan Version LI [
556.4 kB
]
Effective Date: October 1, 2023
Posted: June 27, 2024
2024
October 1, 2024
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Exempt Provider Rate Letters (Updated October 1, 2024)
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2.8 MB
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Rate Letters (Updated October 7, 2024)
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2.6 MB
]
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Exempt Provider Rate Calculations (Updated October 1, 2024)
[
1.1 MB
]
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Rate Calculations (Updated October 7, 2024)
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4.1 MB
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NH Final Rates (Updated September 23, 2024)
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43.1 kB
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NH Final Rates – Detail (Updated September 23, 2024)
[
110.6 kB
]
2023
October 1, 2023
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Exempt Provider Rate Letters (Updated September 15, 2023)
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1.1 MB
]
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Rate Letters (Updated November 7, 2023)
[
3 MB
]
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Exempt Provider Rate Calculations (Updated September 15, 2023)
[
1.1 MB
]
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Rate Calculations (Updated September 15, 2023)
[
4.1 MB
]
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NH Final Rates (Updated September 5, 2023)
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67.4 kB
]
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NH Final Rates – Detail (Updated September 5, 2023)
[
110.7 kB
]
2022
October 1, 2022
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Exempt Provider Rate Letters (Updated October 13, 2022)
[
1 MB
]
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Rate Letters (Updated October 13, 2022)
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11.6 MB
]
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Exempt Provider Rate Calculations (Updated October 13, 2022)
[
298.4 kB
]
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Rate Calculations (Updated October 13, 2022)
[
7.5 MB
]
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Final Rates (Updated October 1, 2022)
[
50.9 kB
]
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Final Rates – Detail (Updated October 1, 2022)
[
184.9 kB
]
January 1, 2022
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Exempt Provider Rate Letters (Updated December 29, 2021)
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3.2 MB
]
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Rate Letters (Updated January 12, 2022)
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4.3 MB
]
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Exempt Provider Rate Calculations (Updated December 29, 2021)
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1.6 MB
]
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Rate Calculations (Updated December 29, 2021)
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4.4 MB
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Final Rates (Updated June 9, 2022)
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50.4 kB
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Final Rates – Detail (Updated December 29, 2021)
[
294.7 kB
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Rates are returning to the rate in effect prior to the enhanced rate adjustment.
2021
October 1, 2021
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Exempt Provider Rate Letters (Updated December 1, 2021)
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459.9 kB
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Rate Letters (Updated November 16, 2021)
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4.3 MB
]
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Exempt Provider Rate Calculations (Updated November 16, 2021)
[
1 MB
]
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Rate Calculations (Updated November 16, 2021)
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3.9 MB
]
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Final Rates (Updated June 9, 2022)
[
48.4 kB
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Final Rates – Detail (Updated November 16, 2021)
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140.5 kB
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During the Legislative Budget Commission held on November 4, 2021, the Legislature approved additional funding of $99,520,603 for Medicaid Nursing Homes enhancing their October 1, 2021 Prospective Payment Rate for 3 months. This enhanced rate will be in effect from October 1, 2021 – December 31, 2021 and will end on January 1, 2022 with the rates being returned to the rate in effect prior to the adjustment. Florida Nursing Home October 1, 2021, Rate Enhancement
Non-Enhanced Rates Applicable for Hospice Providers
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Exempt Provider Rate Letters (Updated December 29, 2021)
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4.6 MB
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Rate Letters (Updated December 29, 2021)
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3.9 MB
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Final Rates (Updated December 29, 2021)
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49.5 kB
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Final Rates – Detail (Updated December 29, 2021)
[
294 kB
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Medicaid nursing home providers receiving the enhanced rate must abide by the following provisions during the three months that the enhanced rates are in effect:
- Nursing homes must honor agreements with hospice providers that are based on the non-enhanced rates, for hospice patients residing in nursing homes.
- Nursing homes must continue to accept all hospice patients at the rates associated with the hospice provider’s nursing home agreement. Updated: Florida Nursing Home October 1, 2021, Rate Enhancement
July 1, 2021
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Exempt Provider Rate Letters (Updated August 2, 2021)
[
215.3 kB
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Rate Letters (Updated August 2, 2021)
[
7.3 MB
]
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Exempt Provider Rate Calculations (Updated August 2, 2021)
[
390.4 kB
]
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Rate Calculations (Updated August 2, 2021)
[
13.6 MB
]
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Final Rates (Updated June 9, 2022)
[
49.1 kB
]
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Final Rates – Detail (Updated July 1, 2021)
[
376.3 kB
]
2020
October 1, 2020
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Exempt Provider Rate Calculations (Updated October 12, 2020)
[
371.3 kB
]
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Exempt Provider Rate Letters (Updated October 12, 2020)
[
266.1 kB
]
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Rate Calculations (Updated December 17, 2020)
[
8.3 MB
]
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Rate Letters (Updated October 12, 2020)
[
4.2 MB
]
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Final Rates (Updated June 9, 2022)
[
42.5 kB
]
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Final Rates – Detail (Updated September 21, 2020)
[
141.2 kB
]
July 1, 2020
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Exempt Provider Rate Calculations (Updated September 30, 2020)
[
404.9 kB
]
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Rate Calculations (Updated September 30, 2020)
[
158.8 MB
]
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Exempt Provider Rate Letters (Updated July 31, 2020)
[
473.5 kB
]
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Rate Letters (Updated July 31, 2020)
[
7.4 MB
]
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Final Rates (Updated April 28, 2022)
[
215.1 kB
]
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Final Rates – Detail (Updated July 15, 2020)
[
142.9 kB
]
2019
October 1, 2019
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Exempt Provider Rate Calculations (Updated September 24, 2019)
[
4.5 MB
]
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Rate Calculations (Updated September 24, 2019)
[
4.7 MB
]
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Exempt Provider Rate Letters (Update August 20, 2019)
[
310.2 kB
]
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Rate Letters (Updated August 20, 2019)
[
3.7 MB
]
-
Final Rates (Updated April 28, 2022)
[
218.9 kB
]
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Final Rates - Detail (Updated August 20, 2019)
[
138.3 kB
]
July 1, 2019
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Exempt Provider Rate Calculations (Updated August 2, 2019)
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5.1 MB
]
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Rate Calculations (Updated August 2, 2019)
[
7 MB
]
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Exempt Provider Rate Letters (Update July 26, 2019)
[
232.9 kB
]
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Rate Letters (Updated July 26, 2019)
[
4 MB
]
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Final Rates (Updated March 10, 2021)
[
41.5 kB
]
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Final Rates - Detail (Updated July 1, 2019)
[
145.3 kB
]
2018
October 1, 2018
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Exempt Provider Rate Calculations
[
279.1 kB
]
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Rate Calculations
[
9.6 MB
]
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Rate Letters (Updated August 30, 2018)
[
3 MB
]
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Final Rates (Updated April 28, 2022)
[
42.7 kB
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*New Provider Numbers Added*
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Final Rates - Detail (Updated August 13, 2018)
[
157.4 kB
]
2017
September 1, 2017
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Rate Letters
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4.4 MB
]
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Rate Calculations and FRVS providers 001135 – 122344
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10.5 MB
]
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Rate Calculations and FRVS providers 122346 – 228001
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11.5 MB
]
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Rate Calculations and FRVS providers 228320 – 326011
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11.7 MB
]
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Rate Semester Initial Per Diem
[
589.1 kB
]
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Rate Semester Initial Per Diem
[
40.9 kB
]
2016
September 1, 2016
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Rate Letters
[
4.4 MB
]
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Rate Calculations and FRVS providers 001135 – 122243
[
11.2 MB
]
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Rate Calculations and FRVS providers 122248 – 251666
[
10.6 MB
]
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Rate Calculations and FRVS providers 251721 – 326011
[
10.8 MB
]
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Rate Semester Initial Per Diem
[
449.6 kB
]
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Rate Semester Initial Per Diem
[
51.7 kB
]
2015
January 1, 2015
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Rate Letters
[
4.4 MB
]
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Rate Calculations and FRVS providers 001135 – 103165
[
10.4 MB
]
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Rate Calculations and FRVS providers 103177 – 253481
[
10.4 MB
]
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Rate Calculations and FRVS providers 253707 – 326011
[
10.6 MB
]
-
Rate Semester Initial Per Diem
[
265.5 kB
]
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Rate Semester Initial Per Diem
[
53 kB
]
September 1, 2015
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Rate Letters
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4.4 MB
]
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Rate Calculations and FRVS providers 001135 – 103425
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10.5 MB
]
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Rate Calculations and FRVS providers 103475 – 253014
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10.5 MB
]
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Rate Calculations and FRVS providers 253430 – 326011
[
10.7 MB
]
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Rate Semester Initial Per Diem
[
322 kB
]
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Rate Semester Initial Per Diem
[
51.2 kB
]
