Missouri Nursing Facility Strike Team and Infrastructure Reimbursement Opportunity

On March 1, 2023, the Missouri Department of Health and Senior Services (DHSS) released information about the Missouri Nursing Facility Strike Team and Infrastructure Award, a reimbursement opportunity available to Skilled Nursing Facilities (SNF) and Long Term Care and Other Nursing Facilities (LTC).

Beginning March 1, facility owners and operators may apply for reimbursement for expenses incurred between July 1, 2022 and August 31, 2023, directly related to preparing, preventing, and responding to the COVID-19 pandemic. The intention of this funding is to provide supplemental support to Missouri’s skilled nursing, other long-term care and other nursing facilities during their response to SARS-CoV-2 infections, and also to build and maintain the infection prevention infrastructure necessary to support resident, visitor, and facility healthcare personnel safety. If you operated a Skilled Nursing Facilities or Long Term Care and Other Nursing Facilities licensed with DHSS between July 1, 2022 and August 31, 2023, you are eligible for reimbursement for allowable expenses.

After the application period was opened March 1, 2023, the program was made aware of additional federal administrative requirements that impact the implementation of the program. These requirements do not change the eligibility criteria for facilities or the allowable cost categories but do identify that expenditures for activities that were previously paid or reimbursed by federal funds are not allowed for reimbursement through this award. Only expenses that have not been reimbursed by another federal fund source are allowable for reimbursement from this opportunity.

A very few additional facilities have also been made eligible for this opportunity. This does slightly impact the eligible amount per licensed bed for both skilled nursing facilities (SNF) and long-term care and other nursing facilities (LTC/Other), but the impact is less than a percentage point different in each type of facility.

Facility operators that have already applied for these funds do not need to do anything to adjust their applications, but do need to be aware of the additional guidance and revised amounts, and be prepared to assure that costs submitted for reimbursement meet the federal requirements. DHSS will provide additional information to existing applicants and will advise if any adjustments or additional information are needed on a case-by-case basis.

Updated guidance and eligible amounts are posted on the DHSS website for COVID-19 Health Care Professionals under the heading “Information for Long-Term Care Facilities” at the following link: https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/professionals.php.

All questions should be directed to the DHSS Strike Team via email at LTCStrikeTeam@health.mo.gov.

This program is supported by the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award ending May 10, 2024 totaling $14,994,016 with 100 percent funded by CDC/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.