Table 1. Recategorization of Reimbursement Methods Used by Medicaid for Skilled Nursing Facilities, by State: 1978-89.

State	State Medicaid Skilled Nursing Facility Method In:
	1978	1979	1980	1981	1982	1983	1984	1985	1986	1987	1988	1989
Alabama	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
Alaska	RET	RET	RET	RET	RET	RET	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ
Arizona	—	—	—	—	—	—	—	—	—	—	—	PCL
Arkansas	PFS	PFS	PFS	PFS	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL
California	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL
Colorado	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ
Connecticut	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
Delaware	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
District of Columbia	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
Florida	RET	RET	RET	RET	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
Georgia	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ
Hawaii	RET	RET	RET	RET	RET	RET	RET	ADJ	ADJ	ADJ	ADJ	ADJ
Idaho	RET	RET	RET	RET	COM	COM	COM	COM	COM	COM	COM	COM
Illinois	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
Indiana	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ
Iowa	RET	RET	RET	RET	RET	RET	RET	RET	ADJ	PFS	PFS	PFS
Kansas	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
Kentucky	RET	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ
Louisiana	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL
Maine	RET	RET	RET	RET	RET	RET	RET	RET	RET	RET	RET	RET
Maryland	RET	RET	RET	RET	RET	RET	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ
Massachusetts	RET	RET	RET	RET	RET	RET	RET	RET	RET	RET	RET	RET
Michigan	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
Minnesota	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
Mississippi	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ
Missouri	RET	RET	RET	RET	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
Montana	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
Nebraska	RET	RET	RET	RET	PFS	PFS	PFS	PFS	PFS	COM	COM	COM
Nevada	COM	COM	COM	COM	COM	COM	COM	COM	COM	COM	COM	COM
New Hampshire	RET	RET	RET	RET	RET	RET	RET	RET	RET	RET	RET	RET
New Jersey	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ
New Mexico	RET	RET	RET	RET	RET	RET	RET	PFS	PFS	PFS	PFS	PFS
New York	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ
North Carolina	ADJ	ADJ	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
North Dakota	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ
Ohio	PFS	COM	COM	COM	COM	COM	COM	COM	COM	COM	COM	COM
Oklahoma	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL
Oregon	RET	RET	RET	RET	RET	RET	RET	RET	COM	COM	COM	COM
Pennsylvania	RET	RET	RET	RET	RET	RET	RET	RET	RET	RET	RET	RET
Rhode Island	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
South Carolina	RET	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
South Dakota	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
Tennessee	RET	RET	RET	RET	RET	RET	RET	RET	RET	RET	RET	RET
Texas	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PFS
Utah	PFS	PFS	PFS	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL	PCL
Vermont	RET	RET	RET	RET	RET	PFS	PFS	PFS	PFS	PFS	PFS	PFS
Virginia	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS
Washington	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ
West Virginia	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ
Wisconsin	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ	ADJ
Wyoming	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS	PFS

NOTES: Detailed footnotes about specifics of reimbursement methods are not provided here but are available upon request from the authors. RET is retrospective. PCL is prospective class. PFS is prospective facility-specific. COM is combination prospective and retrospective. ADJ is prospective, rate can be adjusted upward.

SOURCE: Institute for Health and Aging and National Governors' Association: State Medicaid Reimbursement Survey, San Francisco, 1989.