FY 2022 Urban Provider Patient-Level MA Risk Calculator
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.