House Journal: Page 1688: Tuesday, May 1, 2001
26 current rate effective June 30, 2001, and 66.67
27 percent shall be computed based on the modified price-
28 based case-mix reimbursement rate. The current rate
29 portion shall be increased by an inflation allowance
30 of 9.21 percent with a maximum reimbursement rate of
31 $97.47.
32 c. For the fiscal year beginning July 1, 2003, and
33 ending June 30, 2004, and thereafter, 100 percent of a
34 facility's reimbursement rate shall be computed based
35 on the modified price-based case-mix reimbursement
36 rate.
37 3. Modified price-based case-mix reimbursement
38 rate calculation.
39 a. The department of human services shall
40 determine the statewide median of nursing facility
41 costs as follows:
42 (1) For the fiscal period beginning July 1, 2001,
43 and ending June 30, 2003, the department shall
44 determine the statewide median of nursing facility
45 costs based upon each facility's actual costs taken
46 from the most recent cost reports, submitted by the
47 nursing facility for the period ending on or before
48 December 31, 2000, subject to certain existing
49 limitations and adjustments. These costs shall be
50 inflated forward to July 1, 2001, by using the
Page 2
1 midpoint of each cost report and applying the HCFA/SNF
2 index.
3 (2) Beginning July 1, 2003, and every second state
4 fiscal year thereafter beginning on July 1 of the
5 respective state fiscal year, the department shall
6 recalculate the statewide median of nursing facility
7 costs based upon the most recent cost reports
8 submitted by the nursing facility for the period
9 ending on or before December 31 of the previous
10 calendar year and shall inflate these costs forward to
11 the beginning of the state fiscal year, by using the
12 midpoint of each cost report and applying the HCFA/SNF
13 index.
14 b. Beginning July 1, 2002, and thereafter, the
15 occupancy factor shall be increased to 85 percent when
16 calculating the nondirect care cost component of the
17 modified price-based case-mix reimbursement rate. The
18 occupancy factor shall not apply to support care
19 costs.
20 c. The modified price-based case-mix reimbursement
21 rate paid to nursing facilities shall be calculated
22 using the statewide median cost as adjusted to reflect
23 the case mix of the medical assistance residents in
24 the nursing facility.
© 2001 Cornell College and
League of Women Voters of Iowa
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