Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1189 - COUNTY NURSING FACILITY SERVICES
Subchapter A - GENERAL PROVISIONS
Section 1189.2 - Definitions

Universal Citation: 55 PA Code ยง 1189.2

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

(a) Except for those terms defined in subsection (b), the defined words and terms set forth in § 1187.2 (relating to definitions), have the same meanings when used in this chapter, unless the context clearly indicates otherwise.

(b) The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates otherwise:

Allowable MA Program Expenditure-A cost incurred by a county nursing facility to provide nursing facility services to MA residents that is allowable under this chapter and that is reported and certified by the county nursing facility in a form and manner specified by the Department.

MA Cost Report-The package of certifications, schedules and instructions designated by the Department which county nursing facilities shall use to record and report the costs that they incur to provide nursing facility services during a calendar year.

New county nursing facility-

(i) One of the following:
(A) A newly constructed, licensed and certified county nursing facility.

(B) An existing nursing facility that through a change of ownership, is controlled by the county institution district or by county government if no county institution district exists.

(ii) For the purposes of this definition, "controlled" in clause (B) means the power to direct or cause to direct the management and policies of the nursing facility, whether through equitable ownership of voting securities or otherwise.

Per diem rate-The amount established under this chapter at which the Department makes payment to a county nursing facility for a resident day of care provided to an MA resident.

The provisions of this § 1189.2 amended under sections 201(2), 206(2), 403(b) and 443.1 of the Public Welfare Code (62 P. S. §§ 201(2), 206(2), 403(b) and 443.1).

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