Nursing Facility Special Rates are an add on rate to the per diem reimbursement to care for participants whose care needs exceed what is typically covered in a nursing facility. Cares that exceed the per diem amount are ventilator and tracheostomy care or specialized durable medical equipment (DME). Special Rates are approved on a case by case basis. Ventilator and tracheostomy care are fixed add on rates. These rates are updated on a yearly basis to account for changes in costs to supplies and nursing care.
Current Ventilator Reimbursement Rate: $332.25
Current Tracheostomy Reimbursement Rate: $197.75
All Special Rate Forms should be faxed to 1-877-483-0279.
If you would like more information about Special Rates, please contact Alex Childers-Scott.