Series: Medicaid Nursing Facility Supplemental Payments

OBJECTIVE

CMS has approved Medicaid nursing facility upper payment limit (UPL) supplemental payment programs in several States. In these States, nursing facilities may be eligible for supplemental payments that, when combined with a base payment, may not exceed a reasonable estimate of the amount that Medicaid would pay for the services. Under the UPL supplemental payment programs, a State may use a variety of financing mechanisms to fund that State’s share of supplemental payments. We will determine whether payments States claimed under their Medicaid supplemental payment programs complied with Federal and State requirements, and describe how those payments were distributed and used.

There are 3 projects in this series.

Project titles will remain unpublished until projects are complete and reports are posted.

ACTIVE PROJECTS IN THIS SERIES (3)

Project A-05-24-00017 • Announced on Mar 25, 2024

Project OAS-26-05-039 • Announced on Jan 15, 2026

Project OAS-26-05-048 • Announced on Jan 29, 2026

TIMELINE

• March 25, 2024
  Project Announced

  Project A-05-24-00017

• April 15, 2024
  Series Number WA-24-0038 Assigned
• January 15, 2026
  Project Announced

  Project OAS-26-05-039

• January 29, 2026
  Project Announced

  Project OAS-26-05-048

• Today
  3 Projects In-Progress
• Est FY2026
  Estimated Fiscal Year for Series Completion

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