Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1187 - NURSING FACILITY SERVICES
Subchapter C - NURSING FACILITY PARTICIPATION
Section 1187.23 - Nursing facility incentives and adjustments

Universal Citation: 55 PA Code ยง 1187.23

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

(a) The Department will make minimum occupancy adjustments to encourage nursing facility efficiency and economy associated with nursing facility occupancy levels. If the nursing facility's overall nursing facility occupancy level is below 90%, the Department will make an adjustment to total nursing facility resident days as though the nursing facility were at 90% occupancy. The Department will apply this 90% occupancy adjustment to the administrative cost component and the capital cost center.

(b) The Department will pay a disproportionate share incentive to a nursing facility that has a high overall occupancy and a high proportion of MA residents in accordance with § 1187.111 (relating to disproportionate share incentive payments).

This section cited in 55 Pa. Code § 1187.96 (relating to price- and rate-setting computations).

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