New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 312 - LONG TERM CARE SERVICES - NURSING SERVICES
Part 3 - COST RELATED REIMBURSEMENT OF NURSING FACILITIES
Section 8.312.3.16 - IMPLEMENTATION OF NURSING HOME REFORM REQUIREMENTS EFFECTIVE OCTOBER 1, 1990
Universal Citation: 8 NM Admin Code 8.312.3.16
Current through Register Vol. 35, No. 18, September 24, 2024
As mandated by Section 1919 of the Social Security Act, the following changes are made effective October 1, 1990:
A. Elimination of SNF/ICF Distinction: Effective October 1, 1990, the SNF and ICF distinctions will be eliminated and all participating providers will become NFs. In order to account for the change the following will be implemented:
(1) Two levels of NF services will exist,
representing the care needs of the respective recipients: High NF; Low
NF.
(2) A high NF rate and a low NF
rate will be established for each provider.
(3) For existing SNFs, the High NF rate will
be the provider's SNF rate in effect on September 30, 1990.
(4) For existing SNFs with no existing ICF
rate, the low NF rate will be the provider's SNF rate in effect on September
30, 1990, minus an amount equal to the statewide mean differential of the
operating component of current SNF/ICF rates.
(5) For existing ICFs, the low NF rate will
be the provider's ICF rate in effect on September 30, 1990.
(6) For existing ICFs with no existing SNF
rate, the high NF rate will be the provider's ICF rate in effect on September
30, 1990, plus an amount equal to the statewide mean differential of the
operating component of current SNF/ICF rates.
B. Cost increases related to nursing home reform: To account for cost increases necessary to comply with the nursing home reform provisions, the following amounts will be added to NF rates (see above), effective October 1, 1990: high NF $3.69; low NF $4.96.
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