An official website of the United States Government -

Principles for Assessing Medicaid Nursing Facility Payment Policies

Chapter 2 examines the transparency of Medicaid payments to nursing facilities. Medicaid is the primary payer for most nursing facility residents, and there is growing concern about the quality of care provided to Medicaid-covered residents. The Commission recommends that the Centers for Medicare & Medicaid Services (CMS) collect and report facility-level data on Medicaid payments to nursing facilities, sources of non-federal share of spending, and comprehensive data on nursing facility finances and ownership.

Additionally, CMS should update the requirement for states to conduct regular analyses of Medicaid payments relative to the costs of care for Medicaid-covered nursing facility residents and provide analytic support and technical assistance.

From: March 2023 Report to Congress on Medicaid and CHIP