Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1187 - NURSING FACILITY SERVICES
Subchapter H - PAYMENT CONDITIONS, LIMITATIONS AND ADJUSTMENTS
Section 1187.108 - Gross adjustments to nursing facility payments
Current through Register Vol. 53, No. 52, December 30, 2023
(a) The case-mix payment system is a prospective system. There is no cost settlement under the case-mix payment system.
(b) Certain adjustments may be made which increase or decrease the payment which a nursing facility may have otherwise received. Gross adjustments to nursing facility payments are based on one or more of the following general provisions:
(c) Specific adjustments of the gross payments received by a nursing facility may be required by §§ 1187.109-1187.115.
This section cited in 55 Pa. Code § 1187.141 (relating to nursing facility's right to appeal and to a hearing).