Current through Register Vol. 54, No. 44, November 2, 2024
(a) The actual costs that are necessary for a
facility to utilize the services of members of volunteer or religious
organizations who donate their services on a regularly scheduled basis to serve
in positions customarily held by full-time employes to provide normal patient
care or to assist with the operation of the facility will be allowable costs.
The following conditions and limitations apply:
(1) The costs shall be limited to the fair
market value of comparable salaries of full-time personnel who perform similar
services.
(2) The costs shall be
based on regular working hours, excluding overtime.
(3) The actual costs for these services shall
be supported by documentation substantiating all expenditures.
(4) The costs will be reimbursed as part of
the net operating costs.
(b) The recognition as allowable costs for
workers who are members of an organization of nonpaid workers is subject to the
following conditions:
(1) Nonpaid workers
shall be members of an organization of nonpaid workers that has arrangements
with the provider for the performance of services by nonpaid workers.
(2) Membership in the organization shall be
substantiated by adequate documentation in the files of the organization of
nonpaid workers.
(3) A legally
enforceable agreement between the provider and the organization of nonpaid
workers shall exist and shall establish the provider's obligation to remunerate
the organization for services rendered. A legally enforceable agreement will
not be considered to exist if the provider's legal obligation to pay the
organization of nonpaid workers is nullified by an offsetting legal obligation
by the organization of nonpaid workers to pay or make a contribution to the
provider of all or part of the salary liability. The part of the provider's
obligation required to be paid by the organization of nonpaid workers will not
be allowed.
(4) A payment made by
the organization of nonpaid workers to the provider for the nonpaid workers'
maintenance, prerequisite or fringe benefits shall be used as an offset to the
total of the cost actually incurred by the providers.
(c) Staff services relating to the use of
volunteer workers will be an includable cost.
This section cited in 55 Pa. Code §
1181.271 (relating to excluded
expenses and revenues).
