Sec. 1. (a) Except as provided in subsection (b), payment of services for nursing facilities shall be determined under the same criteria and in a uniform manner for all facilities providing services. (b) In addition to reimbursement under the uniform rates of payment developed for all nursing facilities under subsection (a): (1) nursing facilities that […]
Sec. 2. (a) Payment of nursing facility services shall be determined in accordance with 42 U.S.C. 1396a(a)(13)(A) and any other applicable federal statutes or regulations governing such payments. (b) The office may not require a provider to submit non-Medicaid revenue information in the provider’s annual historical financial report. Non-Medicaid revenue information obtained by Medicaid auditors […]
Sec. 2.5. (a) The office may not reimburse a nursing facility provider for reserving a bed for a Medicaid recipient when the Medicaid recipient is not present in the nursing facility due to a hospital stay or leave of absence for therapeutic reasons. (b) Not later than September 30, 2011, the office shall submit a […]
As added by P.L.152-1995, SEC.12. Repealed by P.L.2-1997, SEC.89.
As added by P.L.152-1995, SEC.13. Repealed by P.L.2-1997, SEC.89.
As added by P.L.152-1995, SEC.14. Repealed by P.L.2-1997, SEC.89.
Sec. 8. (a) Beginning July 1, 2018, the office may implement an end of therapy reclassification methodology in the RUG-IV, 48-Group model for payment of nursing facility services. (b) Before the office changes a health facility service reimbursement that results in a reduction in reimbursement, the office shall provide public notice of at least one […]
