New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 313 - LONG TERM CARE SERVICES - INTERMEDIATE CARE FACILITIES
Part 3 - COST RELATED REIMBURSEMENT OF ICF-MR FACILITIES
Section 8.313.3.14 - ADJUSTMENTS TO BASE YEAR COSTS

Universal Citation: 8 NM Admin Code 8.313.3.14

Current through Register Vol. 35, No. 18, September 24, 2024

Since rebasing of the prospective per diem rate will take place every three years, the HCA recognizes that certain circumstances may warrant an adjustment to the base rate.

Therefore, the provider may request such an adjustment for the following reasons:

A. Additional costs incurred to meet new requirements imposed by government regulatory agencies, taxation authorities, or applicable law (e.g. minimum staffing requirements, minimum wage change, property tax increases, etc.)

B. Additional costs incurred as a result of uninsurable losses from catastrophic occurrences.

C. Additional costs of approved expansion, remodeling or purchase of equipment.

D. Such additional costs must reach minimum of $5,000 for facilities with 16 or more beds and $1,000 for facilities with 15 or less beds, of incurred cost per year for rebasing to be considered. The provider may request consideration of such rebasing no more than twice in its fiscal year. The provider is encouraged to submit such rebasing requests before the cost is actually incurred if possible. The HCA will approve or disapprove the rebasing request in a timely manner. If the rebasing is approved, the resulting increase in the prospective per diem rate will go into effect:

(1) beginning with the month the cost was actually incurred if prior approval was obtained, or

(2) no later than 30 days from the date of receipt of the request if retroactive approval was obtained. At no time will rebasing in excess of any applicable ceilings be allowed.

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