CMS rejects Oklahoma nursing home UPL program

Posted on: 7/26/17


Oklahoma’s application for a Medicaid nursing home “Upper Payment Limit” program has been disapproved by the Centers for Medicare & Medicaid Services (CMS), according to the Oklahoma Health Care Authority (OHCA).  

The nursing facility UPL program has been under development in Oklahoma since 2015. Under the proposal, “non-state government” nursing homes (owned by cities or counties) could have been eligible for additional Medicaid payments, if the city or county agreed to provide the state’s share of the additional payment, and if quality goals were met.

OHCA submitted the State Plan Amendment for this program to CMS for approval in December 2016. CMS requested additional information from the state in March 2017, and OHCA responded on May 15; CMS then asked follow-up questions on June 13 that OHCA answered on June 30. 

See related Sept. 7 OHA Hotline article, “Update on the Medicaid Nursing Facility Upper Payment Limit (UPL) program." (Rick Snyder)


Save the dates for OHA 2022 events

Posted on: 2/18/22


It’s a new year and a new lineup of important events for you and your staff. Don’t miss out on these opportunities to engage in advocacy, education and networking all year long. Mark your calendar now!

OHA Advocacy Day - Tuesday, April 5, Oklahoma History Center. Join us for our annual legislative day. We will begin with a member briefing at 3 p.m., followed by a legislative reception at 5 p.m. Watch for registration materials soon.

OHA-PAC Golf Tournament - Tuesday, June 21, Jimmie Austin Golf Club at OU, Norman. Time and details TBA.

OHA Health Care Leaders Forum - Tuesday, July 19 - Thursday, July 21, Shangri-La Resort, Grand Lake. Watch for registration soon!

OHA Connect 22 - Wednesday, Nov. 9 - Friday, Nov. 11, Oklahoma City Convention Center and Omni Hotel, downtown Oklahoma City. Plan now to attend OHA’s annual conference and exhibit hall. More details to come.

Details on these events and other upcoming education opportunities will be available on the OHA website.