Medicaid Long Term Care Services
Nursing Facility Services
Nursing facility services are provided to approximately 3,600 Medicaid eligible residents who require regular or daily services of a licensed nurse in nursing facilities and swing beds located throughout the state. Out of 83 licensed nursing facilities, there are 80 facilities with 6,330 beds available participating in the Medicaid program and approximately 1,500 beds in 36 swing bed facilities throughout the state. Fifty-six percent of licensed nursing facility beds are funded through the Medicaid program. The average nursing facility rate is $159.96 per day and the swing bed rate is $143.89 per day as of January 1, 2007.
Since 1990, North Dakota has had a case mix payment system and rate equalization for Medicaid and self-pay residents in nursing facilities. Rates for each of the 34 case-mix classifications for all residents in nursing facilities are established annually, effective January 1, based on cost reports submitted by the nursing facilities.