Medicaid Pennsylvania; how much do they actually pay the facility?

Medicaid is a joint federal & State program. However each state administers its Medicaid uniquely. So each state will set its own daily room&board reimbursement rate to a facility participating in LTC Medicaid program.

The exact amount will be somewhere in your states Medicaid guidelines for vendors. In general it seems to be abt $230 day rate. But the southern states pay less, like more $160/$180 day rate range. Alaska had the highest, I think it was like $400 day rate.

The reimbursement from Medicaid isn’t on its own enough for a facility to operate. Having a mix of private pay ($7k -$15k a mo) and LTC Medicaid is needed to run a facility. Plus Having residents come in as a rehab patient after a hospitalization also helps keep a facility afloat as that 100% MediCARE rehab benefit to day 21 and possibly at 80% to 100 days, pays like triple what Medicaid room&board pays.

Are you asking this as there might be a transfer penalty looming for your elders application and they are going to need to private pay during the penalty period?

You can look this up for your State. No, they don't pay what people pay privately. In my State its about 2300 a month. Mom was on Medicaid from July 1st to Sept 23, her death, and the lean placed on her home was less than 6k. Her SS and small pension totaled 1700 under the cap allowed.

I have no clue but from what I've read it is less than what those paying privately are charged, this is why some places only accept medicaid if the resident has already been a self paying customer (or not at all).