Medicaid Payment Ceilings Decline
The Medicaid nursing
facility  formula’s Direct
Care payment ceilings have
been lowered dramatically
over the past ten years. As
facilities increase their
wages, benefits and
staffing hours, payments
are capped and direct care
deficits escalate.
The majority of WAHSA
member facilities exceed
the direct care cost
ceilings, meaning that
added nursing costs are
not reimbursed  by
Medicaid resulting in
higher losses.