Delayed July 1, 2025, Cost-of-Living Adjustment (COLA) for Section 97, Appendix C, Residential Care Facilities (RCFs)
The Department is temporarily delaying implementation of the previously announced 1.0% COLA rates for RCF direct care. The Department requires additional time to make these updates, and we anticipate implementation of new rates on October 1, 2025.
Billing Guidance for Dates of Service July 1, 2025, through September 30, 2025
Providers are responsible for adjusting claims already billed. The Department recommends adjusting claims with the oldest dates first, to avoid 120-day adjustment timely filing edits. For additional billing guidance when adjusting or reversing claims, please see the How to Adjust Claims for Retro Rate Increases (PDF) document.
Updated RCF rate letters are available on the secure Health PAS Online Portal. For questions on these rates, please contact the individual listed on the rate letters.
For questions on billing guidance, please contact your Provider Relations Specialist.