House Journal: Page 1692: Tuesday, May 1, 2001
22 July 1 rate setting shall be used to determine the
23 inflation factor which shall be applied based upon the
24 midpoint of the cost report period.
25 h. "Median" means the median cost calculated by
26 using a weighting method based upon total patient days
27 of each nursing facility.
28 i. "Medicaid" or "medical assistance" means
29 medical assistance as defined in section 249A.2.
30 j. "Medicaid average case-mix index" means the
31 simple average, carried to four decimal places, of all
32 resident case-mix indices where Medicaid is known to
33 be the per diem payor source on the last day of the
34 calendar quarter.
35 k. "Medicare" means the federal Medicare program
36 established by Title XVIII of the federal Social
37 Security Act.
38 l. "Minimum data set" or "MDS" means the federally
39 required resident assessment tool. Information from
40 the MDS is used by the department to determine the
41 facility's case-mix index.
42 m. "Non-case-mix adjusted costs" means an amount
43 stated in terms of per patient day that is calculated
44 using allowable costs from the cost reports of
45 facilities, divided by the allowable patient days for
46 the cost report period, and beginning July 1, 2003,
47 patient days as modified pursuant to subsection 3,
48 paragraph "b". Non-case-mix adjusted costs include
49 all allowable costs less case-mix adjusted costs.
50 n. "Nursing facility" means a skilled nursing
Page 6
1 facility certified under both the federal Medicaid
2 program and the federal Medicare program, and a
3 nursing facility certified under the federal Medicaid
4 program.
5 o. "Rate ceiling" or "upper payment limit" means a
6 maximum rate amount stated in terms of per patient day
7 that is calculated as a percent of the median.
8 p. "Special population nursing facility" means a
9 skilled nursing facility the resident population of
10 which is either of the following:
11 (1) One hundred percent of the residents of the
12 nursing facility is under the age of 22 and require
13 the skilled level of care.
14 (2) Seventy percent of the residents served
15 require the skilled level of care for neurological
16 disorders.
17 6. The department of human services may adopt
18 rules under section 17A.4, subsection 2, and section
19 17A.5, subsection 2, paragraph "b", to implement this
20 section. The rules shall become effective immediately
© 2001 Cornell College and
League of Women Voters of Iowa
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