House Journal: Page 1491: Tuesday, April 20, 1999

43   following:

44     "1A.  a.  The basis for establishing the maximum
45   medical assistance reimbursement rate for nursing
46   facilities shall be the 70th percentile of facility
47   costs as calculated from the June 30, 1999, unaudited
48   compilation of cost and statistical data submitted by
49   each facility on medical assistance cost reports.  A
50   facility which does not have a current cost report on
Page 5
 1   file with the department as of June 30, 1999, shall
 2   continue to receive the per diem rate in effect for
 3   that facility on June 30, 1999, until the facility's
 4   costs are above that rate or until June 30, 2000,
 5   whichever is earlier.  A facility shall submit
 6   semiannual cost reports beginning July 1, 1999, or
 7   after, based on the closing date of the facility's
 8   fiscal year.
 9     b.  To the extent funds are available within the
10   amount projected for reimbursement of nursing
11   facilities within the appropriation for medical
12   assistance in this Act for the fiscal year beginning
13   July 1, 1999, and within the appropriation for medical
14   assistance as a whole for the fiscal year beginning
15   July 1, 1999, the department shall adjust the maximum
16   medical assistance reimbursement for nursing
17   facilities to the 70th percentile, as calculated from
18   the December 31, 1999, unaudited compilation of cost
19   and statistical data for only those nursing facilities
20   which provide additional written documentation in a
21   cost report which demonstrates increased expenditures
22   for direct care in the form of wages during a cost
23   reporting period in that fiscal year.  In order to be
24   eligible for the increased reimbursement, a nursing
25   facility must submit the cost report with the
26   additional documentation by June 30, 2000.  To the
27   extent possible, the additional written documentation
28   shall be obtained from the expanded cost report
29   information submitted by nursing facilities in
30   accordance with paragraph "c".  Any adjustment shall
31   take effect January 1, 2000.
32     c.  The department of human services shall adopt
33   emergency rules requiring all nursing facilities to
34   submit a medical assistance cost report on or after
35   July 1, 1999, that incorporates the additional
36   documentation specified in this lettered paragraph.
37   Initially, the additional documentation shall provide
38   baseline information by describing the status of the
39   facility with reference to the information requested
40   as of July 1, 1999, and subsequently the additional
41   documentation shall describe the status of the

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