Reimbursement

Medicaid Fiscal Accountability Proposed Regulation (MFAR)

The Centers for Medicare and Medicaid Services (CMS) issued a proposed Medicaid Fiscal Accountability Regulation on November 11th, 2019 that impacts provider assessments and upper payment limit (UPL) programs. While CMS states its aim is to "eliminate state financing gimmicks," it is important to note that CMS is not proposing to eliminate provider tax, inter-governmental transfers (IGT), and supplemental payments. Nevertheless, this rule would have significant negative impacts on funding.

Resources

• Webinar: How MFAR Impacts Your State’s Provider Tax Program
• IGT Brief
• Provider Taxes Brief
• ​​Analysis of State Nursing Home Provider Tax Programs (Map)
  
• AHCA/NCAL MFAR Comments to CMS​
  
• AHCA/NCAL Press Statement: Health Care Leaders Voice Concerns Over Proposed CMS Medicaid Regulations​