Current through Register Vol. 49, No. 13, September 23, 2024
Subpart 1.
Conditions.
To receive an interim payment rate, a nursing facility must
comply with the requirements and is subject to the conditions in part
9549.0060, subpart 14, items A to
C. The commissioner shall determine interim and settle up operating cost
payment rates for a newly constructed nursing facility, or one with an increase
in licensed capacity of 50 percent or more according to subparts
2 and
3.
Subp. 2.
Interim operating cost payment
rate.
For the rate year or portion of an interim period beginning on
or after July 1, 1986, the interim total operating cost payment rate must be
determined according to parts
9549.0050 to
9549.0059(Temporary)
in effect on March 1, 1987. For the rate year or portion of an interim period
beginning on or after July 1, 1987, the interim total operating cost payment
rate must be determined according to parts
9549.0050 to
9549.0059, except that:
A. The nursing facility must project its
anticipated resident days for each resident class. The anticipated resident
days for each resident class must be multiplied by the weight for that resident
class as listed in part
9549.0058 to determine the
anticipated standardized resident days for the reporting period.
B. The commissioner shall use anticipated
standardized resident days in determining the allowable historical case mix
operating cost standardized per diem.
C. The commissioner shall use the anticipated
resident days in determining both the allowable historical other care related
operating cost per diem and the allowable historical other operating cost per
diem.
D. The annual adjustment
factors determined in part
9549.0055, subpart
1, must not be applied to the
nursing facility's allowable historical per diems as provided in part
9549.0056, subparts
2 and 4.
E. The limits established in part
9549.0055, subpart
2, items C and E, as indexed
in part
9549.0055, subpart
3 and in effect at the
beginning of the interim period, must be increased by ten percent.
F. The efficiency incentive in part
9549.0056, subpart 4, item A or B,
must not apply.
G. The phase in
provisions in part
9549.0056, subpart 7, must not
apply.
Subp. 3.
Settle up operating cost payment rate.
The settle up total operating cost payment rate must be
determined according to items A to C.
A. The settle up operating cost payment rate
for interim periods before July 1, 1987, is subject to the rule parts that were
in effect during the interim period.
B. To determine the settle up operating cost
payment rate for interim periods or the portion of an interim period occurring
after July 1, 1987, subitems (1) to (7) must be applied.
(1) The standardized resident days as
determined in part
9549.0054, subpart
2, must be used for the
interim period.
(2) The
commissioner shall use the standardized resident days in subitem (1) in
determining the allowable historical case mix operating cost standardized per
diem.
(3) The commissioner shall
use the actual resident days in determining both the allowable historical other
care related operating cost per diem and the allowable historical other
operating cost per diem.
(4) The
annual adjustment factors determined in part
9549.0055, subpart
1, must not be applied to the
nursing facility's allowable historical per diems as provided in part
9549.0056, subparts
2 and 4.
(5) The limits established in part
9549.0055, subpart
2, item E, must be the limits
for the settle up reporting periods occurring after July 1, 1987. If the
interim period includes more than one July 1 date, the commissioner shall use
the limit established in part
9549.0055, subpart
2, items C and E, as indexed
in part
9549.0055, subpart
3, increased by ten percent
for the second July 1 date.
(6) The
efficiency incentive in part
9549.0056, subpart 4, item A or B,
must not apply.
(7) The phase in
provisions in part
9549.0056, subpart 7 must not
apply.
C. For the nine
month period following the settle up reporting period, the total operating cost
payment rate must be determined according to item B except that the efficiency
incentive as computed in part
9549.0056, subpart 4, item A or B,
applies.
D. The total operating
cost payment rate for the rate year beginning July 1 following the nine month
period in item C must be determined under parts
9549.0050 to
9549.0059.
E. A newly constructed nursing facility or
one with an increase in licensed capacity of 50 percent or more must continue
to receive the interim total operating cost payment rate until the settle up
total operating cost payment rate is determined under this subpart.
