Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL)
Chapter III - Allowances for Services
Section 144-101-III-50 - Principles of Reimbursement for Intermediate Care Facilities for the Mentally Retarded
Subsection 144-101-III-50-6000 - LABOR COST COMPONENT
Current through 2024-38, September 18, 2024
6010 Wages: Reasonable costs incurred for personnel wages will be reimbursed at actual cost.
6011 All Facility Staff
6020 Fringe Benefits. The Department will reimburse the facility for its actual contribution to the reasonable and customary cost of the following designated types of fringe benefits if they are provided to the facility's personnel:
6021 Designated Benefits
6022 Pay In Lieu of Benefits (PIB). PIB is an allowable cost for those benefits unrelated to wage driven benefits such as FICA and Worker's Compensation. In order to receive pay in lieu of health insurance the staff member must demonstrate to the facility that he/she is covered for comprehensive medical care under an alternative program or policy. This benefit shall be reimbursable for personnel who are employed at the facility at least twenty-four (24) hours per week. PIB shall be reported as a fringe benefit on the appropriate cost reporting form.
For facilities that have hired per diem nursing staff prior to April 1, 1989, those per diem nursing staff members will be exempt from the twenty-four (24) hour per week requirement as stated in this Principle. The facility must make documentation available at the time of audit.
6023 Costs incurred for fringe benefits other than those designated in 6021 or 6022 above, if they are determined to be reasonable, may be reimbursed only as a part of the variable cost component.
