Nursing Facility Audit and Credit Balance Report Information

 

The Department will no longer conduct Accounts Receivable Audits in pursuit of the recovery of Nursing Facility overpayments, beginning July 1, 2019. In addition, we have discontinued the requirement for facilities to provide a quarterly Aging Report and its accompanying Credit Balance Report.  For more information, please see Dear Administrator letter #2019-002.

 

Audits of Medicaid-contracted nursing facilities are conducted approximately once every four years. These audits examine resident trust accounts. If you have any questions about audits, please contact Melissa Ayala, Audit Team, at (360) 725-2416 or Melissa.Ayala@dshs.wa.gov, or Tiffany Hills, Nursing Facility Rates Manager, at (360) 725-2472 or Tiffany.Hills@dshs.wa.gov.

 

Please note:

The Personal Needs Allowance for nursing facility residents prior to 01/01/18 was $57.28.

Effective 1/1/18 the Personal Needs Allowance for nursing facility residents was increased to $58.43.

Effective 1/1/19 the Personal Needs Allowance for nursing facility residents has increased to $70.00.