256R.07 ADEQUATE DOCUMENTATION. Subdivision 1. Criteria. A nursing facility must keep adequate documentation. In order to be adequate, documentation must: (1) be maintained in orderly, well-organized files; (2) not include documentation of more than one nursing facility in one set of files unless transactions may be traced by the commissioner to the nursing facility’s annual […]
256R.08 REPORTING OF FINANCIAL STATEMENTS. Subdivision 1. Reporting of financial statements. (a) No later than February 1 of each year, a nursing facility must: (1) provide the state agency with a copy of its audited financial statements or its working trial balance; (2) provide the state agency with a statement of ownership for the facility; […]
256R.09 REPORTING OF STATISTICAL AND COST REPORTS. Subdivision 1. Reporting timeline. Each nursing facility shall file a statistical and cost report for the prior reporting period by February 1 in a form and manner specified by the commissioner. Notice of rates shall be distributed by November 15. Subd. 2. Reporting of statistical and cost information. […]
256R.10 ALLOWED COSTS. Subdivision 1. General cost principles. Only costs determined to be allowable shall be used to compute the total payment rate for nursing facilities participating in the medical assistance program. To be considered an allowable cost for rate-setting purposes, a cost must satisfy the following criteria: (1) the cost is ordinary, necessary, and […]
256R.11 NONALLOWED COSTS. Subdivision 1. Generally. (a) The following costs shall not be recognized as allowable: (1) political contributions; (2) salaries or expenses of a lobbyist, as defined in section 10A.01, subdivision 21, for lobbying activities; (3) advertising designed to encourage potential residents to select a particular nursing facility; (4) assessments levied by the commissioner […]
256R.12 COST ALLOCATION. Subdivision 1. Allocation; direct identification of costs; management agreement. All costs that can be directly identified with a specific nursing facility that is a related organization to the central, affiliated, or corporate office, or that is controlled by the central, affiliated, or corporate office under a management agreement, must be allocated to […]
256R.13 AUDITING REQUIREMENTS. Subdivision 1. Audit authority. (a) The commissioner shall provide for an audit of the cost and statistical data of nursing facilities participating as vendors of medical assistance. The commissioner shall select for audit at least 15 percent of the nursing facilities’ data reported at random or using factors including, but not limited […]
256R.16 QUALITY OF CARE. Subdivision 1. Calculation of a quality score. (a) The commissioner shall determine a quality score for each nursing facility using quality measures established in section 256B.439, according to methods determined by the commissioner in consultation with stakeholders and experts, and using the most recently available data as provided in the Minnesota […]
256R.17 CASE MIX. Subdivision 1. Case mix classifications. The case mix classifications shall be those established under section 144.0724. Subd. 2. Case mix indices. (a) The commissioner shall assign a case mix index to each case mix classification based on the Centers for Medicare and Medicaid Services staff time measurement study. (b) An index maximization […]
256R.18 REPORT BY COMMISSIONER OF HUMAN SERVICES. (a) Beginning January 1, 2019, the commissioner shall provide to the house of representatives and senate committees with jurisdiction over nursing facility payment rates a biennial report on the effectiveness of the reimbursement system in improving quality, restraining costs, and any other features of the system as determined […]
