441—36.6 (249L) Assessment.
	 36.6(1) Applicability. All nursing facilities as defined in Iowa Code section 135C.1 that are free-standing facilities or are operated by a hospital licensed pursuant to Iowa Code chapter 135B shall pay a quarterly assessment to the department, as determined under this division, with the exception of:
	  a.   	 Nursing facilities operated by the state.
	  b.   	 Non-state government-owned or government-operated nursing facilities.
	  c.   	 Distinct-part skilled nursing units and swing-bed units operated by a hospital.
	 36.6(2) Assessment level.
	  a.   	 Nursing facilities with 50 or fewer licensed beds are required to pay a quality assurance assessment of $1 per non-Medicare patient day.
	  b.   	 Nursing facilities designated as continuing care retirement centers (CCRCs) by the insurance division of the Iowa department of commerce are required to pay a quality assurance assessment of $1 per non-Medicare patient day.
	  c.   	 Nursing facilities with annual Iowa Medicaid patient days of 26,500 or more are required to pay a quality assurance assessment of $1 per non-Medicare patient day.
	  d.   	 All other nursing facilities are required to pay a quality assurance assessment of $5.26 per non-Medicare patient day.
[ARC 8258B, IAB 11/4/09, effective 1/1/10; ARC 8894B, IAB 6/30/10, effective 7/1/10]