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2001 SESSION

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HB 2276 Medical assistance services.

Introduced by: Barnie K. Day | all patrons    ...    notes | add to my profiles

SUMMARY AS INTRODUCED:

Medical assistance services. Requires the Board of Medical Assistance Services to amend the state plan for medical assistance services to include a provision to revise the payment methodology for nursing facility reimbursement that addresses the nursing personnel shortages in rural nursing facilities. This bill requires an exception for rural nursing facilities to the uniform expense classification requirement that allowable expenses for operating costs not exceed the limits or ceilings or both established in the payment system when the allowable expenses for operating expenses have exceeded the limits or ceilings or both because, in order to maintain regular nursing staff levels for direct patient care during a nursing shortage, a rural nursing facility has had to hire contract nurses at higher salary rates than the rates used in the facility's gross salary calculations in it previous annual cost report. These extraordinary expenses must be defined as significant operational changes that can be demonstrated to have a major impact on the fiscal stability of the rural nursing facility. The rural nursing facility will have the right to submit amendments to its previous annual cost report immediately upon incurring these expenses, receive an adjustment of its prospectively determined operating cost rate or ceiling regardless of its peer group, and obtain a recalculation of its reimbursement rate based on the adjustment within 30 days of submission of the amended cost report. Reimbursement of the rural nursing facility on the basis of the newly recalculated reimbursement rate must be initiated within 30 days of the recalculation of the reimbursement rate.


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