MEDICAID – States findings of the Legislature and directs the Department of Health and Welfare to convene a council to coordinate and develop revisions to the skilled nursing facility upper payment limit.

This concurrent resolution directs Idaho's Department of Health and Welfare to convene a council to revise how Medicaid pays skilled nursing facilities. It requires the council to coordinate changes to the current "upper payment limit" system by integrating it into daily Medicaid rates, directing Medicaid Managed Care Organizations (MCOs) to use a minimum fee schedule, and shifting the nursing facility assessment fee from annual to quarterly collection. The changes aim to meet a federal CMS deadline (July 2026) for updating the reimbursement system. The council must report its recommendations to the legislature by January 2026. This affects skilled nursing facilities, Medicaid MCOs, and the state's Medicaid program.