CMS Access Rule Calculator


Input your Medicaid current year (annualized) or last year's total revenues, direct care wages, and total expenses to see the effects of the 80% / 20% Rule. These numbers are not saved or stored.

Current Year

100.00%

70.00%

93.00%

Indirect Care Expenses** $1,150,000.00 23.00%

--

Profit $350,000.00 7.00%

Decline in Profit

80% Year

$5,000,000.00 100.00%

$4,000,000.00 80.00%

$5,150,000.00 103.00%

$1,150,000.00 23.00%

--

-$150,000.00 -3.00% (Profit Margin)

$500,000.00 10.00%


* All eligible caregiver wages, including employer's share of payroll taxes (e.g. 9.8% for Colorado) + Workers comp

** All other costs that are not direct caregiver wages, e.g. office staff wages, rent, utilities, liability insurance, etc.