Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1181 - NURSING FACILITY CARE
Subchapter B - MANUAL FOR ALLOWABLE COST REIMBURSEMENT FOR SKILLED NURSING AND INTERMEDIATE CARE FACILITIES
ALLOWABLE COSTS
Section 1181.232a - Bed changes during a cost reporting period-statement of policy

Universal Citation: 55 PA Code ยง 1181.232a

Current through Register Vol. 54, No. 12, March 23, 2024

(a) Interim rate level. The Department will accept the required or previously approved allocation bases and use the bed complement on the final day of the reported period as the basis for setting the interim rate. Allocation bases accepted at interim rate will be subject to verification at audit.

(b) Audit level. The provider is required by regulation to keep adequate documentation of the cost by the level of care.

(1) For cost reporting periods ending before June 30, 1988, the provider may use multiple Schedule C's or actual statistics. The preferred method for documenting this is to submit supplemental Schedule C's which identify costs being allocated by proper statistics for each period of change. These supplemental Schedule C's will then be combined on a summary Schedule C which would become the required Schedule C to be included in the MA-11 Cost Report. The supplemental Schedule C's should be submitted with the MA-11 Cost Report. For periods ending after June 30, 1988, the provider shall use multiple Schedule C's.

(2) For either time period, the absence of required documentation will result in zero cost. The absence of required documentation or the use of other methods which do not properly reflect use of the Department's required allocation bases or approved change in bases will result in zero cost being allowed for that line item.

Disclaimer: These regulations may not be the most recent version. Pennsylvania may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.