Attention PNMIs and Adult Family Care Homes: Cost of Care Claims Deduction, CR 36287

January 31, 2014

MIHMS has corrected the way Cost of Care (COC) is deducted from Private Non-Medical Institutions (PNMI) (Appendix C and F) and Adult Family Care Homes (AFCH) claims. Since the implementation of MIHMS, COC was not correctly deducted from claims, which created overpayments. This issue has now been resolved.

For providers who received COC overpayments and have not yet engaged the Department in a payment plan, the amount owed to the Department will be recouped from their future payments, spread out over the 2014 calendar year. No provider action is needed.

If you have questions, please contact Melissa Bell at (207) 287-9298.