HomeMy WebLinkAboutSNF - SFY 2026 Q4 Rates
_
information within the fee schedules as of the date they are posted. Medicaid makes no guarantee that this compilation of fee schedule information is error-free and will bear no
responsibility or liability for the results or consequences of the use of these schedules.
is communicated in the Provider Handbook, MedicAide Newsletters and Information Releases posted on IDMedicaid.com. The Current Procedural Terminology (CPT) codes
descriptors, and other data are registered trademarks of the American Medical Association with all rights reserved.
NPI
1063966638
BUSINESS NAME
BOISE WEST OF CASCADIA, LLC
DOING BUSINESS AS
Arbor Valley of Cascadia
REV CODE
100
RATE
300.51
EFFECTIVE DATE
4/1/2026
Type
FS
1063966638 BOISE WEST OF CASCADIA, LLC Arbor Valley of Cascadia 183 225.38 4/1/2026 FS
1497756803 ASHTON MEMORIAL INC Ashton Living Center 100 237.78 4/1/2026 FS
1497756803 ASHTON MEMORIAL INC Ashton Living Center 183 178.33 4/1/2026 FS
1194236406 MOSCOW OF CASCADIA, LLC Aspen Park of Cascadia 100 220.92 4/1/2026 FS
1194236406 MOSCOW OF CASCADIA, LLC Aspen Park of Cascadia 183 165.69 4/1/2026 FS
1568552446 BEAR LAKE COUNTY MEMORIAL HOSPITAL - LTC Bear Lake Memorial Skilled Nursing Facility 100 237.17 4/1/2026 HB
1568552446 BEAR LAKE COUNTY MEMORIAL HOSPITAL - LTC Bear Lake Memorial Skilled Nursing Facility 183 177.87 4/1/2026 HB
1306322953 BENNETT HEALTHCARE, INC. Bennett Hills Rehabilitation & Care Center 100 213.52 4/1/2026 FS
1306322953 BENNETT HEALTHCARE, INC. Bennett Hills Rehabilitation & Care Center 183 160.14 4/1/2026 FS
1861694960 BINGHAM SKILLED NURSING AND REHAB CENTER Bingham Memorial Skilled Nursing & Rehab 100 265.08 4/1/2026 HB
1861694960 BINGHAM SKILLED NURSING AND REHAB CENTER Bingham Memorial Skilled Nursing & Rehab 183 198.81 4/1/2026 HB
1225113152 BOUNDARY COMMUNITY HOSPITAL AND NURSING HOME Boundary County Nursing Home 100 229.51 4/1/2026 HB
1225113152 BOUNDARY COMMUNITY HOSPITAL AND NURSING HOME Boundary County Nursing Home 183 172.13 4/1/2026 HB
1285688739 BRIDGEVIEW MEDICAL INVESTORS, LLC Bridge View Estates 100 243.02 4/1/2026 FS
1285688739 BRIDGEVIEW MEDICAL INVESTORS, LLC Bridge View Estates 183 182.26 4/1/2026 FS 1467978460 CALDWELL OF CASCADIA, LLC Caldwell Care of Cascadia 100 247.60 4/1/2026 FS 1467978460 CALDWELL OF CASCADIA, LLC Caldwell Care of Cascadia 183 185.70 4/1/2026 FS 1770009680 CANYON WEST OF CASCADIA, LLC Canyon West of Cascadia 100 221.39 4/1/2026 FS
1770009680 CANYON WEST OF CASCADIA, LLC Canyon West of Cascadia 183 166.04 4/1/2026 FS
1093422370 CASCADES AT DESERT VIEW, LLC Cascades at Desert View 100 213.88 4/1/2026 FS
1093422370 CASCADES AT DESERT VIEW, LLC Cascades at Desert View 183 160.41 4/1/2026 FS
1871200154 CASCADES AT LINCOLN COUNTY, LLC Cascades at Lincoln County, LLC 100 205.98 4/1/2026 FS
1871200154 CASCADES AT LINCOLN COUNTY, LLC Cascades at Lincoln County, LLC 183 154.48 4/1/2026 FS
1285390963 CASCADES AT SUNNY RIDGE, LLC Cascades at Sunny Ridge, LLC 100 244.98 4/1/2026 FS
1285390963 CASCADES AT SUNNY RIDGE, LLC Cascades at Sunny Ridge, LLC 183 183.73 4/1/2026 FS
1295249241 BOISE OF CASCADIA, LLC Cascadia of Boise 100 284.32 4/1/2026 FS
1295249241 BOISE OF CASCADIA, LLC Cascadia of Boise 183 213.24 4/1/2026 FS
1356867683 NAMPA OF CASCADIA, LLC Cascadia of Nampa 100 290.46 4/1/2026 FS
1356867683 NAMPA OF CASCADIA, LLC Cascadia of Nampa 183 217.84 4/1/2026 FS
1497388003 EMMETT OF CASCADIA, LLC Cherry Ridge of Cascadia 100 267.32 4/1/2026 FS
1497388003 EMMETT OF CASCADIA, LLC Cherry Ridge of Cascadia 183 200.49 4/1/2026 FS
1760925572 CLEARWATER OF CASCADIA, LLC Clearwater of Cascadia 100 218.54 4/1/2026 FS
1760925572 CLEARWATER OF CASCADIA, LLC Clearwater of Cascadia 183 163.90 4/1/2026 FS
1487197299 COEUR D'ALENE OF CASCADIA, LLC Coeur d'Alene of Cascadia 100 291.02 4/1/2026 FS
1487197299 COEUR D'ALENE OF CASCADIA, LLC Coeur d'Alene of Cascadia 183 218.26 4/1/2026 FS
1023052040 COUNTRYSIDE CARE & REHAB Countryside Care & Rehabilitation 100 271.99 4/1/2026 HB
1023052040 COUNTRYSIDE CARE & REHAB Countryside Care & Rehabilitation 183 203.99 4/1/2026 HB
1932685583 MERIDIAN HEALTHCARE, INC. Creekside Transitional Care and Rehabilitation 100 273.61 4/1/2026 FS
1932685583 MERIDIAN HEALTHCARE, INC. Creekside Transitional Care and Rehabilitation 183 205.20 4/1/2026 FS
1477816965 SAWTOOTH HEALTHCARE, INC. Discovery Rehabilitation & Living 100 246.12 4/1/2026 FS 1477816965 SAWTOOTH HEALTHCARE, INC. Discovery Rehabilitation & Living 183 184.59 4/1/2026 FS 1972220473 IDAHO FALLS NORTH OF CASCADIA, LLC Eagle Rock Health & Rehab of Cascadia 100 262.40 4/1/2026 FS 1972220473 IDAHO FALLS NORTH OF CASCADIA, LLC Eagle Rock Health & Rehab of Cascadia 183 196.80 4/1/2026 FS
1548355811 FRANKLIN COUNTY MEDICAL CENTER Franklin County Transitional Care 100 246.38 4/1/2026 HB
1548355811 FRANKLIN COUNTY MEDICAL CENTER Franklin County Transitional Care 183 184.78 4/1/2026 HB
1407956253 POCATELLO HEALTH SERVICES, INC. Gateway Transitional Care Center 100 236.55 4/1/2026 FS
1407956253 POCATELLO HEALTH SERVICES, INC. Gateway Transitional Care Center 183 177.41 4/1/2026 FS
1740942622 GRANGEVILLE OF CASCADIA, LLC Grangeville Health & Rehabilitation of Cascadia 100 266.09 4/1/2026 FS
1740942622 GRANGEVILLE OF CASCADIA, LLC Grangeville Health & Rehabilitation of Cascadia 183 199.56 4/1/2026 FS
1285624627 DIVISION OF VETERANS SERVICES Idaho State Veterans Home – Boise 100 562.38 7/1/2025 FS
1285624627 DIVISION OF VETERANS SERVICES Idaho State Veterans Home – Boise 183 421.78 7/1/2025 FS
1679562011 DIVISION OF VETERANS SERVICES Idaho State Veterans Home - Lewiston 100 573.89 7/1/2025 FS
1679562011 DIVISION OF VETERANS SERVICES Idaho State Veterans Home - Lewiston 183 430.41 7/1/2025 FS
1285624064 DIVISION OF VETERANS SERVICES Idaho State Veterans Home - Pocatello 100 519.51 7/1/2025 FS
1285624064 DIVISION OF VETERANS SERVICES Idaho State Veterans Home - Pocatello 183 389.63 7/1/2025 FS
1619605136 DIVISION OF VETERANS SERVICES Idaho State Veterans Home - Post Falls 100 963.15 7/1/2025 FS
1619605136 DIVISION OF VETERANS SERVICES Idaho State Veterans Home - Post Falls 183 722.36 7/1/2025 FS
1760281778 GOLDEN RIDGE HEALTHCARE Ironwood Rehabilitation and Care Center 100 210.57 4/1/2026 FS
1760281778 GOLDEN RIDGE HEALTHCARE Ironwood Rehabilitation and Care Center 183 157.92 4/1/2026 FS
1891148979 CARE CENTER NAMPA INC Karcher Post-Acute Care & Rehabilitation Center 100 261.36 4/1/2026 FS
1891148979 CARE CENTER NAMPA INC Karcher Post-Acute Care & Rehabilitation Center 183 196.02 4/1/2026 FS
1487453494 MASON PARK HEALTHCARE Lakeside Rehab and Care Center 100 261.65 4/1/2026 FS
1487453494 MASON PARK HEALTHCARE Lakeside Rehab and Care Center 183 196.23 4/1/2026 FS
1477064780 LEWISTON OF CASCADIA, LLC Lewiston Transitional Care of Cascadia 100 252.03 4/1/2026 FS
1477064780 LEWISTON OF CASCADIA, LLC Lewiston Transitional Care of Cascadia 183 189.02 4/1/2026 FS
1306207279 BOISE SNF OPERATIONS, LLC Life Care Center of Boise 100 225.47 4/1/2026 FS
1306207279 BOISE SNF OPERATIONS, LLC Life Care Center of Boise 183 169.10 4/1/2026 FS
1366495277 LAKE CITY MEDICAL INVESTORS LIMITED PARTNERSHIP Life Care Center of Coeur d'Alene 100 246.79 4/1/2026 FS
1366495277 LAKE CITY MEDICAL INVESTORS LIMITED PARTNERSHIP Life Care Center of Coeur d'Alene 183 185.09 4/1/2026 FS
1780638296 GEM MEDICAL INVESTORS LIMITED PARTNERSHIP Life Care Center of Idaho Falls 100 225.93 4/1/2026 FS
1780638296 GEM MEDICAL INVESTORS LIMITED PARTNERSHIP Life Care Center of Idaho Falls 183 169.44 4/1/2026 FS
1235182155 CLEARWATER MEDICAL INVESTORS LIMITED PARTNERSHIP Life Care Center of Lewiston 100 224.48 4/1/2026 FS
1235182155 CLEARWATER MEDICAL INVESTORS LIMITED PARTNERSHIP Life Care Center of Lewiston 183 168.36 4/1/2026 FS
1740442771 POST FALLS MEDICAL INVESTORS LLC Life Care Center of Post Falls 100 250.18 4/1/2026 FS
1740442771 POST FALLS MEDICAL INVESTORS LLC Life Care Center of Post Falls 183 187.63 4/1/2026 FS
1780638213 SANDPOINT MEDICAL INVESTORS LIMITED PARTNERSHIP Life Care Center of Sandpoint 100 246.23 4/1/2026 FS
1780638213 SANDPOINT MEDICAL INVESTORS LIMITED PARTNERSHIP Life Care Center of Sandpoint 183 184.67 4/1/2026 FS 1184678617 EMERALD MEDICAL INVESTORS, LLC Life Care Center of Treasure Valley 100 253.26 4/1/2026 FS 1184678617 EMERALD MEDICAL INVESTORS, LLC Life Care Center of Treasure Valley 183 189.94 4/1/2026 FS 1649692609 MADISON-CARRIAGE COVE SHORT STAY REHABILITATION LLC Madison Carriage Cove 100 218.52 4/1/2026 FS
1649692609 MADISON-CARRIAGE COVE SHORT STAY REHABILITATION LLC Madison Carriage Cove 183 163.89 4/1/2026 FS
1609367697 MCCALL HEALTHCARE, INC. McCall Rehabilitation & Care Center 100 230.11 1/1/2026 FS
1609367697 MCCALL HEALTHCARE, INC. McCall Rehabilitation & Care Center 183 172.58 1/1/2026 FS
1083146484 MIDLAND NAMPA HEALTHCARE, INC. Meadow View Nursing and Rehabilitation 100 276.42 4/1/2026 FS
1083146484 MIDLAND NAMPA HEALTHCARE, INC. Meadow View Nursing and Rehabilitation 183 207.31 4/1/2026 FS
1801351176 TANABELL HEALTH SERVICES, INC. Meridian Meadows Transitional Care 100 248.85 4/1/2026 FS
1801351176 TANABELL HEALTH SERVICES, INC. Meridian Meadows Transitional Care 183 186.63 4/1/2026 FS
1285882431 CHAROLAIS CARE I, INC. DBA MINI CASSIA CARE CENTER Mini-Cassia Care Center 100 202.85 4/1/2026 FS
1285882431 CHAROLAIS CARE I, INC. DBA MINI CASSIA CARE CENTER Mini-Cassia Care Center 183 152.13 4/1/2026 FS
1821360868 VALLEY VIEW HEALTH SERVICES, INC. Monte Vista Hills Healthcare Center 100 221.89 4/1/2026 FS
1821360868 VALLEY VIEW HEALTH SERVICES, INC. Monte Vista Hills Healthcare Center 183 166.41 4/1/2026 FS
1396261202 KELLOG OF CASCADIA, LLC Mountain Valley of Cascadia 100 201.55 4/1/2026 FS
1396261202 KELLOG OF CASCADIA, LLC Mountain Valley of Cascadia 183 151.16 4/1/2026 FS
1912157090 OAK CREEK REHABILITATION CENTER OF KIMBERLY Oak Creek Rehab of Kimberly 100 210.15 4/1/2026 FS
1912157090 OAK CREEK REHABILITATION CENTER OF KIMBERLY Oak Creek Rehab of Kimberly 183 157.61 4/1/2026 FS
1811949431 ONEIDA COUNTY HOSPITAL LONG TERM CARE Oneida County Hospital LTCU 100 224.84 4/1/2026 HB
1811949431 ONEIDA COUNTY HOSPITAL LONG TERM CARE Oneida County Hospital LTCU 183 168.63 4/1/2026 HB
1225390131 HOMEDALE HEALTHCARE, INC. Owyhee Health & Rehabilitation 100 230.19 4/1/2026 FS
1225390131 HOMEDALE HEALTHCARE, INC. Owyhee Health & Rehabilitation 183 172.64 4/1/2026 FS
1811614332 MOSCOW NORTH OF CASCADIA LLC Paradise Creek Health & Rehab of Cascadia 100 245.69 1/1/2026 FS
1811614332 MOSCOW NORTH OF CASCADIA LLC Paradise Creek Health & Rehab of Cascadia 183 184.26 1/1/2026 FS
1720317761 JRT HEALTHCARE, INC. Parke View Rehabilitation & Care Center 100 250.22 4/1/2026 FS 1720317761 JRT HEALTHCARE, INC. Parke View Rehabilitation & Care Center 183 187.66 4/1/2026 FS 1235683806 PAYETTE OF CASCADIA, LLC Payette Healthcare of Cascadia 100 228.36 4/1/2026 FS 1235683806 PAYETTE OF CASCADIA, LLC Payette Healthcare of Cascadia 183 171.27 4/1/2026 FS
1821096082 POWER COUNTY SKILLED NURSING FACILITY Power County Nursing Home 100 302.47 4/1/2026 HB
1821096082 POWER COUNTY SKILLED NURSING FACILITY Power County Nursing Home 183 226.85 4/1/2026 HB
1346598299 CARE CENTER (LEWISTON) INC. Prestige Care and Rehabilitation - The Orchards 100 221.64 4/1/2026 FS
1346598299 CARE CENTER (LEWISTON) INC. Prestige Care and Rehabilitation - The Orchards 183 166.23 4/1/2026 FS
1821250713 TANABELL HEALTH SERVICES INC Quinn Meadows Rehab & Care Center 100 238.66 4/1/2026 FS
1821250713 TANABELL HEALTH SERVICES INC Quinn Meadows Rehab & Care Center 183 178.99 4/1/2026 FS
1275862211 GEM HEALTHCARE, INC. River's Edge Rehabilitation & Living Center 100 222.78 1/1/2026 FS
1275862211 GEM HEALTHCARE, INC. River's Edge Rehabilitation & Living Center 183 167.08 1/1/2026 FS
1558022319 LEWISTON CENTER OF CASCADIA, LLC Royal Plaza Health & Rehab of Cascadia 100 258.56 4/1/2026 FS
1558022319 LEWISTON CENTER OF CASCADIA, LLC Royal Plaza Health & Rehab of Cascadia 183 193.92 4/1/2026 FS
1851836381 SERENITY HEALTHCARE, LLC Serenity Healthcare, LLC 100 209.23 4/1/2026 FS
1851836381 SERENITY HEALTHCARE, LLC Serenity Healthcare, LLC 183 156.92 4/1/2026 FS
1700245594 SHAW MOUNTAIN OF CASCADIA, LLC Shaw Mountain of Cascadia 100 236.42 4/1/2026 FS
1700245594 SHAW MOUNTAIN OF CASCADIA, LLC Shaw Mountain of Cascadia 183 177.31 4/1/2026 FS
1841917481 SILVERTON OF CASCADIA Silverton Health and Rehab of Cascadia 100 238.27 1/1/2026 FS
1841917481 SILVERTON OF CASCADIA Silverton Health and Rehab of Cascadia 183 178.70 1/1/2026 FS
1083286595 STEELHEAD HEALTHCARE, INC. Skyline Transitional Care Center 100 269.52 4/1/2026 FS
1083286595 STEELHEAD HEALTHCARE, INC. Skyline Transitional Care Center 183 202.14 4/1/2026 FS
1508105248 ST LUKES REGIONAL MEDICAL CENTER St. Luke's Elmore Long Term Care 100 268.20 4/1/2026 HB
1508105248 ST LUKES REGIONAL MEDICAL CENTER St. Luke's Elmore Long Term Care 183 201.15 4/1/2026 HB
1518022342 STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE Syringa Chalet Nursing Facility 100 725.04 7/1/2025 HB
1518022342 STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE Syringa Chalet Nursing Facility 183 543.78 7/1/2025 HB 1962068601 CRESS CREEK HEALTHCARE, INC. Temple View Transitional Care Center 100 236.24 4/1/2026 FS 1962068601 CRESS CREEK HEALTHCARE, INC. Temple View Transitional Care Center 183 177.18 4/1/2026 FS 1467113233 IDAHO FALLS AT CASCADIA, LLC Teton Healthcare of Cascadia 100 256.90 4/1/2026 FS
1467113233 IDAHO FALLS AT CASCADIA, LLC Teton Healthcare of Cascadia 183 192.67 4/1/2026 FS
1861946436 BELLEVUE OF CASCADIA, LLC The Cove of Cascadia 100 322.03 4/1/2026 FS
1861946436 BELLEVUE OF CASCADIA, LLC The Cove of Cascadia 183 241.52 4/1/2026 FS
1912418229 NAMPA WEST OF CASCADIA, LLC The Orchards of Cascadia 100 248.84 4/1/2026 FS
1912418229 NAMPA WEST OF CASCADIA, LLC The Orchards of Cascadia 183 186.63 4/1/2026 FS
1437603008 TWIN FALLS OF CASCADIA, LLC Twin Falls Transitional Care of Cascadia 100 254.87 4/1/2026 FS
1437603008 TWIN FALLS OF CASCADIA, LLC Twin Falls Transitional Care of Cascadia 183 191.15 4/1/2026 FS
1497233514 BOISE NURSING AND REHAB CENTER, LLC Valley View Nursing & Rehabilitation 100 228.08 4/1/2026 FS
1497233514 BOISE NURSING AND REHAB CENTER, LLC Valley View Nursing & Rehabilitation 183 171.06 4/1/2026 FS
1497761050 VALLEY VISTA CARE CORPORATION Valley Vista Care of Sandpoint 100 270.93 4/1/2026 FS
1497761050 VALLEY VISTA CARE CORPORATION Valley Vista Care of Sandpoint 183 203.19 4/1/2026 FS
1770599409 VALLEY VISTA CARE CORPORATION Valley Vista Care of St. Maries 100 287.81 4/1/2026 FS
1770599409 VALLEY VISTA CARE CORPORATION Valley Vista Care of St. Maries 183 215.85 4/1/2026 FS
1821509134 WEISER OF CASCADIA, LLC Weiser of Cascadia, LLC 100 226.81 4/1/2026 FS
1821509134 WEISER OF CASCADIA, LLC Weiser of Cascadia, LLC 183 170.10 4/1/2026 FS
1699208280 CANYON COUNTY OF CASCADIA LLC Wellspring Health & Rehab of Cascadia 100 250.43 4/1/2026 FS
1699208280 CANYON COUNTY OF CASCADIA LLC Wellspring Health & Rehab of Cascadia 183 187.82 4/1/2026 FS