Principles of Reimbursement for Nursing Homes - Attachment 4.19D of the State Medicaid Plan


218-5896 INACTIVE RULE

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Title 218 Department of Human Services
Chapter XXX Old Regulations Which Were Not Assigned Chapter-Subchap-Part
Subchapter XX Old Regulations Which Were Not Assigned Chapter-Subchap-Part
Part 5896 Principles of Reimbursement for Nursing Homes - Attachment 4.19D of the State Medicaid Plan
Type of Filing Adoption
Regulation Status Inactive
Effective 09/21/2010 to 11/30/2011

Regulation Authority:

RIGL 40-8-19; Title XIX of the Social Security Act

Purpose and Reason:

A Category II change request to the Rhode Island Global Choice Compact Waiver, with an effective date of February 1, 2010, has been submitted to Centers for Medicare and Medicaid Services (CMS) regarding proposed rate setting for nursing facility services. The current State Plan and DHS rule Medical Assistance have been revised to include an adjustment to facility rates based on the acuity of the Medicaid residents of the facility. Acuity is defined as the relative need for nursing care. DHS proposes to increase or decrease nursing facility per diem rates, depending on how individual facility nursing costs and patient acuity compare to statewide averages.