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FY 2022 Urban Provider Patient-Level MA Risk Calculator

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This is available to AHCA members. 

The AHCA urban provider patient-level MA risk calculator takes three user entered data points to compare the MA plan offered rate for an individual patient with a facility-specific comparable Medicare fee-for-service per-diem rate determined by high or low nursing, therapy, and non-therapy ancillary care needs identified by the Patient Intake or Reassessment MA Risk Classification tool.  The three data points are:

    • Facility Name
    • Facility Wage Index Adjustment Factor 
    • MA Plan Levels Rate Offered

Providers should only use this file if they know the SNF is located in a county located in a Medicare core based statistical area (CBSA) designated as ‘Urban’.  If uncertain, providers should use the Wage Index Adjustment Factor Lookup Tool to identify the SNF’s rural/urban designation and wage index factor.

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