Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.40 - SENIOR AND LONG TERM CARE SERVICES
Subchapter 37.40.3 - Reimbursement for Skilled Nursing and Intermediate Care Services
Rule 37.40.326 - INTERIM PER DIEM RATES FOR NEWLY CONSTRUCTED FACILITIES AND NEW PROVIDERS
Universal Citation: MT Admin Rules 37.40.326
Current through Register Vol. 18, September 20, 2024
(1) This rule specifies the methodology the department will use to determine the interim per diem rate for in-state providers, other than ICF/IID providers, which as of July 1 of the rate year have not filed with the department a cost report covering a period of at least six months participation in the Medicaid program in a newly constructed facility or following a change in provider as defined in ARM 37.40.325.
(a) Effective July 1, 2001, and thereafter,
the rate paid to new providers that acquire or otherwise assume the operations
of an existing nursing facility, that was participating in the Medicaid program
prior to the transaction, will be paid the price-based reimbursement rate in
effect for the prior owner/operator of the facility before the transaction as
if no change in provider had occurred. These rates will be adjusted at the
start of each state fiscal year in accordance with (1)(b).
(b) Effective July 1 2020, and thereafter,
the rate paid to newly constructed facilities or to facilities participating in
the Medicaid program for the first time will be the flat rate component
specified under ARM
37.40.307(2)(a)
combined with the quality component specified under ARM
37.40.307(2)(b).
AUTH: 53-6-113, MCA; IMP: 53-6-101, 53-6-113, MCA
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