Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part VII - Long Term Care
Subpart 3 - Intermediate Care Facilities for Persons with Intellectual Disabilities
Chapter 329 - Reimbursement Methodology
Subchapter C - Public Facilities
Section VII-32967 - Quasi-Public Facilities
Universal Citation: LA Admin Code VII-32967
Current through Register Vol. 50, No. 9, September 20, 2024
A. Medicaid payment to quasi-public facilities is a facility-specific prospective rate based on budgeted costs. Providers shall be required to submit a projected budget for the state fiscal year beginning July 1.
B. The payment rates for quasi-public facilities shall be determined as follows:
1.
determine each ICF/IID's per diem for the base year beginning July 1;
2. calculate the inflation factor using an
average CPI index applied to each facility's per diem for the base year to
determine the inflated per diem;
3.
calculate the median per diem for the facilities' base year;
4. calculate the facility's routine cost per
diem for the SFY beginning July 1 by using the lowest of the budgeted, inflated
or median per diem rates plus any additional allowances; and
5. calculate the final approved per diem rate
for each facility by adding routine costs plus any "pass through" amounts for
ancillary services, provider fees, and grant expenses.
C. Providers may request a final rate adjustment subject to submission of supportive documentation and approval by the department.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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