Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1187 - NURSING FACILITY SERVICES
Subchapter G - RATE SETTING
Section 1187.92 - Resident classification system

Universal Citation: 55 PA Code ยง 1187.92

Current through Register Vol. 54, No. 44, November 2, 2024

(a) The Department will use the RUG-III to adjust payment for resident care services based on the classification of nursing facility residents into 44 groups.

(b) Each resident shall be included in the RUG-III category with the highest numeric CMI for which the resident qualifies.

(c) The Department will use the RUG-III nursing CMI scores normalized across all this Commonwealth's nursing facility residents.

(d) The Department will announce, by notice submitted for recommended publication in the Pennsylvania Bulletin and suggested codification in the Pennsylvania Code as Appendix A, the RUG-III nursing CMI scores and the PA normalized RUG-III index scores.

(e) The PA normalized RUG-III index scores will remain in effect until a subsequent notice is published in the Pennsylvania Bulletin.

(f) Resident data for RUG-III classification purposes shall be reported by each nursing facility under § 1187.33 (relating to resident data reporting requirements).

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.