Skip Ribbon Commands
Skip to main content
Take Action
Support H.R. 4468, the Nursing Home Workforce Quality Act

Follow the link and contact your Representatives in Congress today!

Read More
Untitled 1
Funding >>

 State of the States Clearinghouse


​One stop shop for key Medicaid and Medicare information.


MIC_logo_green (map).jpg 

 Medicaid Shortfall Reports


Medicaid Shortfall Report

NEW - 2017 Shortfall Report

2016 Shortfall Report – Preliminary Results

AHCA commissioned Eljay, LLC and Hansen Hunter & Company P.C. to compile Medicaid payments to nursing center providers.

>> Download preliminary numbers

2015 Medicaid Shortfall Report

AHCA commissioned Eljay, LLC and Hansen Hunter & Company P.C. to compile a report on Medicaid payments to nursing center providers. The annual study, A Report on Shortfalls in Medicaid Funding for Nursing Center Care, estimates the nation’s Medicaid shortfall – over $7 billion in 2015. On a daily basis, this shortfall is $22.46 per Medicaid patient, per day which is 6 percent higher than the 2014 projected shortfall, at $21.20.


Highlights of the report include:

  • The 2015 Medicaid shortfall is expected to exceed $7 billion nationally.

  • The estimated average Medicaid shortfall for 2015 of $22.46 per Medicaid patient day is a 6.0 percent increase over the preceding year’s projected shortfall of $21.20.

  • For a typical 100-bed facility in which 63 percent of residents rely on Medicaid for coverage, this shortfall would mean a loss of more than $1,415 dollars each day, exceeding $516,000 annually.

  • On average, Medicaid reimbursed nursing center providers only 89.4 percent of their projected allowable costs incurred on behalf of Medicaid patients. This means that for every dollar of allowable cost incurred for a Medicaid patient in 2015, Medicaid programs reimbursed, on average, approximately 89 cents.

​​​​​​​​​  Download full report>