Principles of Reimbursement for Nursing Homes - Attachment 4.19D of the State Medicaid Plan
218-5896 INACTIVE RULE
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.