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