Rate Increase Questionnaire

Your input is important!

The Kasich Administration has proposed massive cuts to skilled nursing facility Medicaid rates, only one year after SNFs received their first increase in a decade.

As a key part of our advocacy against these cuts, we need to be able to show how OHCA members used the additional money that resulted from last July’s rate increase.

Please complete the quick table below and submit it as soon as possible, but no later than Wednesday, May 17.

IF YOU DID NOT RECEIVE A RATE INCREASE THIS FISCAL YEAR, PLEASE DO NOT COMPLETE THE SURVEY.

Thank you very much for your help!

Question Title

* 1. Contact Information (this information will be kept confidential):

Name

Facility/Company

Email Address

Question Title

* 2. Please indicate your use of rate increase dollars using the table below:

	0%	1-15%	16-25%	25-50%	51-75%	76-90%	91-100%
Increasing staff salary/benefits	Increasing staff salary/benefits 0%	Increasing staff salary/benefits 1-15%	Increasing staff salary/benefits 16-25%	Increasing staff salary/benefits 25-50%	Increasing staff salary/benefits 51-75%	Increasing staff salary/benefits 76-90%	Increasing staff salary/benefits 91-100%
Hiring additional staff	Hiring additional staff 0%	Hiring additional staff 1-15%	Hiring additional staff 16-25%	Hiring additional staff 25-50%	Hiring additional staff 51-75%	Hiring additional staff 76-90%	Hiring additional staff 91-100%
Building improvements/remodeling	Building improvements/remodeling 0%	Building improvements/remodeling 1-15%	Building improvements/remodeling 16-25%	Building improvements/remodeling 25-50%	Building improvements/remodeling 51-75%	Building improvements/remodeling 76-90%	Building improvements/remodeling 91-100%
Increased/improved supplies, food, or other care-related items	Increased/improved supplies, food, or other care-related items 0%	Increased/improved supplies, food, or other care-related items 1-15%	Increased/improved supplies, food, or other care-related items 16-25%	Increased/improved supplies, food, or other care-related items 25-50%	Increased/improved supplies, food, or other care-related items 51-75%	Increased/improved supplies, food, or other care-related items 76-90%	Increased/improved supplies, food, or other care-related items 91-100%
Margin	Margin 0%	Margin 1-15%	Margin 16-25%	Margin 25-50%	Margin 51-75%	Margin 76-90%	Margin 91-100%
Other (identify below)	Other (identify below) 0%	Other (identify below) 1-15%	Other (identify below) 16-25%	Other (identify below) 25-50%	Other (identify below) 51-75%	Other (identify below) 76-90%	Other (identify below) 91-100%

Other (please specify)