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2011 Report on Shortfalls in Medicaid Funding for Nursing Home Care

Eljay, LLC
December 15, 2011

Eljay, LLC (Eljay), was engaged by the American Health Care Association (AHCA) to work with its state affiliates and other sources to compile information on the shortfall between Medicaid reimbursement and allowable Medicaid costs in as many states as feasible. This year’s compilation, like in the previous nine reports, identifies the shortfall for the latest year for which audited or desk-reviewed cost reports were available, which for most states was 2009. The estimated average shortfall in Medicaid reimbursement slightly decreased from $16.79 per Medicaid patient day in 2008 to $16.54 in 2009. The estimated 2011 projected shortfall climbed significantly to $19.55. Eljay estimates that state Medicaid programs, on average, reimbursed only 90% of projected allowable costs incurred on behalf of Medicaid patients in 2011, the second lowest percentage since the inception of this study.

Interactive Map

Hover over your state to compare the Medicaid Funding shortfall from 2009 to 2011.
You may also select your State from the directory list.