256R.21 TOTAL PAYMENT RATE. Subdivision 1. Total payment rates. For each facility, the commissioner shall calculate a total payment rate using the statistical and cost report filed by each nursing facility for the reporting period ending 15 months prior to the rate year. The total payment rates are the total payment rates in effect on […]
256R.22 CASE MIX ADJUSTED TOTAL PAYMENT RATE. Subdivision 1. Case mix adjusted payment rates generally. For each facility, the commissioner shall calculate case mix adjusted payment rates for each case mix classification. Subd. 2. Determination of case mix adjusted total care-related payment rates. A facility’s case mix adjusted total care-related payment rate for each case […]
256R.23 TOTAL CARE-RELATED PAYMENT RATES. Subdivision 1. Determination of total care-related cost per day. Each facility’s total care-related cost per day is the sum of its direct care cost per standardized day and its other care-related cost per resident day. Subd. 2. Calculation of direct care cost per standardized day. Each facility’s direct care cost […]
256R.24 OTHER OPERATING PAYMENT RATE. Subdivision 1. Determination of other operating cost per day. Each facility’s other operating cost per day is its other operating costs divided by the sum of the facility’s resident days. Subd. 2. Determination of the median other operating cost per day. The commissioner must determine the median other operating cost […]
256R.25 EXTERNAL FIXED COSTS PAYMENT RATE. (a) The payment rate for external fixed costs is the sum of the amounts in paragraphs (b) to (o). (b) For a facility licensed as a nursing home, the portion related to the provider surcharge under section 256.9657 is equal to $8.86 per resident day. For a facility licensed […]
256R.26 PROPERTY PAYMENT RATE. Subdivision 1. Determination of limited undepreciated replacement cost. A facility’s limited URC is the lesser of: (1) the facility’s recognized URC from the appraisal; or (2) the product of (i) the number of the facility’s licensed beds three months prior to the beginning of the rate year, (ii) the construction cost […]
256R.261 PROPERTY RATE DEFINITIONS. Subdivision 1. Definitions. For purposes of sections 256R.26 to 256R.267, the terms in this section have the meanings given unless otherwise provided for in this chapter. Subd. 2. Addition. “Addition” means an extension, enlargement, or expansion of the nursing facility for the purpose of increasing the number of licensed beds or […]
256R.265 APPRAISALS AND DETERMINATION OF REPLACEMENT COSTS. Subdivision 1. Selection of valuation system and appraisal firms. The commissioner shall select a commercial valuation system that property appraisal firms selected by the commissioner must utilize for all nursing facility property appraisals. The commissioner shall use appraisal reports produced by commissioner-selected appraisal firms using the commissioner-selected commercial […]
256R.267 THRESHOLD PROJECT PROPERTY PAYMENT RATE INTERIM ADJUSTMENTS. (a) A facility reimbursed under section 256R.26, subdivisions 1 to 8, may receive a property payment rate interim adjustment for threshold projects the cumulative cost of which during the three years between physical appraisals is between the following threshold project cost limits: (1) the lesser of $316,816 […]
256R.27 INTERIM AND SETTLE-UP PAYMENT RATES. Subdivision 1. Generally. (a) The commissioner shall determine the interim payment rates and settle-up payment rates for a newly constructed nursing facility, or a nursing facility with an increase in licensed capacity of 50 percent or more, according to subdivisions 2 and 3. (b) The nursing facility must submit […]
256R.32 APPEALS. Nursing facilities may appeal, as described under section 256B.50, the determination of a payment rate established under this chapter. History: 2016 c 99 art 1 s 22
