Medicaid Fiscal Accountability Regulation

The Centers for Medicare and Medicaid Services published the proposed Medicaid Fiscal Accountability Regulation (MFAR) to make changes to how states can structure provider taxes and supplemental payments, among other items, in their Medicaid programs. This webpage is designed to be a repository for all LeadingAge resources related to the proposed rule.

LeadingAge submitted comments to the Federal Register on January 30. Read the comment letter here.

As part of its response to the proposal, LeadingAge developed a comment resource guide to support members submitting their own comment letters. In addition, we held two member call-ins on the proposed regulation, reaching more than 150 participants. 

As of February 5, there are more than 3,300 comments posted to the Federal Register. Of those, more than half mention nursing homes, over 650 mention life plan communities/CCRCs and 66 mention LeadingAge specifically. Several LeadingAge state partner organizations submitted comments in addition to those of the national office.

The proposal, if finalized as written, could have significant implications for life plan communities/CCRCs in states that have exemptions or discounts for these communities in their nursing home provider tax policies. LeadingAge has identified eighteen such states. On January 13, LeadingAge and the National Continuing Care Residents Association (NaCCRA) sent a joint letter to Congress urging Senators and Members of Congress to protect life plan communities from potential new Medicaid taxes as a result of this proposal. 

Members may reach out to Brendan Flinn of the LeadingAge staff with questions and concerns related to the proposal.

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