01369e17_Provider_Reimbursement_System___Setting_Methodology_Component
[Description] Another rate setting methodology is to tie Medicaid rates to Medicare rates for the same services. This provides less state control over the rate that is set but is relatively easy to manage. If the state covers services that Medicare does not pay for, additional rates may need to be set.
Medicare Rates
F e e f o r S e r v i c e R a t e s
C o s t B a s e d R a t e s
R a t e S e t t l e m e n t P r o c e s s
P r o s p e c t i v e P a y m e n t R a t e s
M e d i c a r e R a t e s
P e r D i e m R a t e s
P a y f o r P e r f o r m a n c e
C a p i t a t e d R a t e s
Q u a l i t y I n c e n t i v e s
Provider Reimbursement System
Rate Setting Methodology/Component