Nursing facility UPL program to be resubmitted

Posted on: 1/10/18


The Oklahoma Health Care Authority (OHCA) will again ask the federal government to approve a Medicaid supplemental payment program for governmentally-owned nursing homes. CMS denied a similar, but less detailed, proposal by OHCA about six months ago.

Like Oklahoma hospitals’ SHOPP, this is an upper payment limit (UPL) program to improve Medicaid reimbursement. Oklahoma nursing facilities already have a provider assessment program, known as the Quality of Care Assessment, which increases SoonerCare nursing home payments. Unlike SHOPP, the proposed program is funded by the intergovernmental transfer (IGT) of public funds from a participating unit of local government to the state, for matching by CMS.

OHCA intends to satisfy all of the concerns that led CMS to deny the 2017 proposal. Initially, 20 nursing facilities operated by the cities of Pauls Valley, Hugo, Frederick and Vici will participate in the program. Other facilities operated by cities or counties may apply for future participation. CMS has ruled that Oklahoma public trust authorities do not qualify for inclusion.

Interested parties may review and comment on the proposed rule revisions by Jan. 17 on the OHCA website.  (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.