Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1187 - NURSING FACILITY SERVICES
Subchapter E - ALLOWABLE PROGRAM COSTS AND POLICIES
Section 1187.61 - Movable property cost policies
Universal Citation: 55 PA Code ยง 1187.61
Current through Register Vol. 54, No. 44, November 2, 2024
(a) Actual acquisition cost during cost report period. Except as otherwise specified in this section and subject to §§ 1187.58 and 1187.60 (relating to costs of related parties; and prudent buyer concept), a nursing facility's allowable movable property shall be limited to the nursing facility's actual acquisition cost of movable property placed in service during the cost report period.
(b) Determination of acquisition cost. Except in situations where an item of movable property is obtained from a related party, the acquisition cost of that item shall be determined as follows:
(1)
Acquisition cost is determined on a per-unit basis.
(2) When an item is purchased, the
acquisition cost of that item is equal to the total actual purchase price of
the item, regardless of whether the total price is paid in full at the time of
purchase or over a period of time, plus the following: any required sales tax,
shipping charges and installation charges.
(3) When an item of movable property is
leased or rented, the acquisition cost is limited to the lower of: the actual
annual lease or rental payments made by the nursing facility; or the imputed
purchase price of the item, pro-rated on a straight-line basis over the useful
life of the item, as identified in the most recent Uniform Chart of Accounts
and Definitions for Hospitals published by the American Hospital Association at
the time the item is leased or rented. For purposes of this section, the
imputed purchase price of a leased or rented item is the lesser of:
(i) The suggested list price from the
manufacturer of the item.
(ii) The
actual discounted price of the item available at the time of lease or
rental.
(iii) The purchase price
for the item set forth in the lease or rental agreement.
(iv) If the lessor is a related party, the
related party's acquisition cost as determined in accordance with paragraph
(2).
(4) When an item is
acquired as the result of a gift or donation, the acquisition cost of that item
is deemed to be the appraised depreciated replacement cost of the item provided
that, on a date prior to the submission of the MA-11 for the period in which
the item is acquired, the nursing facility obtains an appraisal of the item's
depreciated replacement cost from a licensed appraiser and submits a copy of
the written report of the appraisal to the Department with its MA-11. If the
nursing facility fails to obtain an appraisal of the item's depreciated
replacement cost from a licensed appraiser within the time period set forth in
this section or if the nursing facility fails to submit a copy of the written
report of the appraisal to the Department with its MA-11, the acquisition cost
of the donated item or gift is deemed to be $0.
(5) When an item is acquired by a trade-in,
the acquisition cost of the item shall be the sum of the remaining book value
of the item traded-in plus any acquisition cost of the newly acquired item,
computed in accordance with paragraphs 2, 3 and 4. The remaining book value of
the item shall be determined based upon the useful life of the item, using the
Uniform Chart of Accounts and Definitions for Hospitals
published by the American Hospital Association, and depreciation computed on a
straight-line basis.
(6) When an
item is loaned to the nursing facility without charge, the acquisition cost of
that item is deemed to be $0.
(7)
When an item is covered by a standard express warranty, the cost of that
warranty is included in the acquisition cost of the item. The cost of any
extended warranty is not included in the acquisition cost of the
item.
(8) When an item is acquired
from a related party, the acquisition cost of the item shall be determined
under § 1187.58.
(c) Offsets to reported cost of movable property.
(1) If a nursing facility conveys or
otherwise transfers movable property acquired during a cost report period
beginning on or after January 1, 2001, to any other person as the result of a
sale, trade-in, gift, assignment or other transaction, an offset will be made
against the nursing facility's allowable movable property costs in the year in
which the conveyance or transfer occurs. The amount of the offset will be the
greater of the amount paid or credited to the nursing facility for the item by
the person to whom the item is conveyed or transferred or the remaining book
value of the item on the date the item is conveyed or transferred, as
determined based upon the useful life of the item, using the Uniform
Chart of Accounts and Definitions for Hospitals published by the
American Hospital Association, and depreciation computed on a straight-line
basis.
(2) If a nursing facility
removes from service an item acquired during a cost report period beginning on
or after January 1, 2001, before the expiration of the useful life of the item,
determined using the Uniform Chart of Accounts and Definitions for
Hospitals published by the American Hospital Association, an offset
will be made against the nursing facility's allowable movable property costs in
the year in which the item is removed from service. The amount of the offset
will be the remaining book value of the item, as determined based upon the
Uniform Chart of Accounts and Definitions for Hospitals
published by the American Hospital Association, and depreciation computed on a
straight-line basis.
(3) If, for
movable property acquired during a cost report period beginning on or after
January 1, 2001, a nursing facility receives a refund, money or credit under a
lease or rental agreement; or money or credit as a result of a trade-in; or
money, including insurance proceeds or damages, as the result of recovery of a
loss related to that movable property, the amount received by the nursing
facility will be offset against the nursing facility's allowable movable
property costs in the year in which the refund money or credit is
received.
(4) If a nursing facility
fails to liquidate all or part of the acquisition cost of an item reported on
the MA-11 during a cost report period beginning on or after January 1, 2001 in
accordance with §
1187.52(b)
(relating to allowable cost policies) the unliquidated amount will be offset
against the nursing facility's allowable movable property cost in a subsequent
fiscal period.
(5) If a nursing
facility receives a rebate on an item acquired during a cost report period
beginning on or after January 1, 2001, the rebate amount received by the
nursing facility will be offset against the nursing facility's allowable
movable property costs in the year in which the refund money or credit is
received.
(d) Losses incurred on the sale, transfer or disposal of movable property are not allowable costs.
(e) The acquisition cost of movable property that is rented or leased is an allowable cost only if the following requirements are met:
(1) The agreement to rent or lease the
movable property shall be in writing, identify each item of movable property
that is being rented or leased, identify any other services or supplies that
are being provided under the agreement, identify the term of the agreement, the
payment intervals, and the amount of the periodic payments and total payments
due under the agreement.
(2) The
agreement to rent or lease the movable property shall set forth a suggested
purchase price for each item of movable property rented or
leased.
This section cited in 55 Pa. Code § 1187.97 (relating to rates for new nursing facilities, nursing facilities with a change of ownership, reorganized nursing facilities, and former prospective payment nursing facilities); and 55 Pa. Code § 1187.154 (relating to exceptional DME grants-general conditions and limitations).
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