Federal Revenue Maximization

Myers and Stauffer assists many state Medicaid programs maximize federal funding. Many states are faced with budgetary shortfall and revenue constraints that may limit program objectives. We have assisted our clients in identifying federal revenue enhancement opportunities and significantly reducing budgetary shortfalls using provider taxes, intergovernmental transfer programs, utilizing certified public expenditures, and making state-only programs eligible for Medicaid participation.

Our work has encompassed preparing detailed analyses, developing alternative findings methodologies, and helping our clients address issues or questions raised by the Centers for Medicare & Medicaid Services (CMS). As a result of our work with other states, we have developed a comprehensive understanding of Medicare reimbursement principles. We have demonstrated our understanding of Medicare reimbursement through previous Medicare upper limit and payment system development projects. We have modeled both cost-based and prospective payment UPL systems for our clients. These UPL analyses include inpatient and outpatient hospital, nursing facility and ICF/MR providers.

Myers and Stauffer has assisted states with disproportionate share hospital (DSH) programs. We have assisted our clients with the development of DSH payment methodologies, state plan development and with the on-going operation of their DSH payment systems. We are knowledgeable of federal DSH payment requirements and with techniques Medicaid agencies have used within the DSH program to further leverage federal participation. We have worked with our Medicaid agency clients to incorporate inter-governmental transfers (IGT) and the use of certified public expenditures (CPE) into their DSH and supplemental payment systems.

Myers and Stauffer has assisted our state Medicaid agency clients with provider tax projects since enactment of the provider tax and donation regulations. We have assisted several states with their pursuit of automatic waivers of the broad-based and uniformity requirements of the provider tax regulations.