Payment for Nursing Facility Services Provided by Nonpublic Nursing Facilities Located in a County of the Eighth Class; Nonpublic Nursing Facility Supplementation Payment for Fiscal Year 2017-2018
[48 Pa.B. 2724]
[Saturday, May 5, 2018]
This announcement provides advance notice that the Department of Human Services (Department) intends to continue to make an additional payment to certain nonpublic nursing facilities in a county of the eighth class in Fiscal Year (FY) 2017-2018 to ensure access to necessary nursing home care in that county.
The Department will make a nonpublic nursing facility supplementation payment to each qualified nonpublic nursing facility. To qualify, a nonpublic nursing facility must be located in a county of the eighth class, have more than 119 beds and a Medicaid acuity of 1.02 as of August 1, 2017. The number of beds will be the number of licensed beds as of August 1, 2017, and the Medicaid acuity will be determined using the Case Mix Index Report for the August 1, 2017, Picture Date in accordance with 55 Pa. Code § 1187.33 (relating to resident data and picture date reporting requirements).
The Department will calculate each qualified nonpublic nursing facility's supplementation payment for FY 2017-2018 by multiplying the supplementation per diem by the number of paid Medical Assistance (MA) facility and therapeutic leave days for the prior fiscal year. The supplementation per diem will be calculated by dividing the total funds available by the total number of paid MA facility and therapeutic leave days for the prior fiscal year for qualifying facilities.
This public notice supersedes the notice published at 48 Pa.B. 953 (February 10, 2018), and provides the revised payment methodology that will be used to make an additional payment to certain nonpublic nursing facilities in a county of the eighth class in FY 2017-2018.
The Department will submit a State Plan Amendment (SPA) to the Centers for Medicare & Medicaid Services (CMS). If CMS approves the SPA, the total funds will consist of both State and Federal funding. The Department will use its best efforts to process this supplementation payment within 30 days of the date it receives notice from CMS.
This change will result in a cost of $10.378 million ($5.000 million in State funds) for FY 2017-2018.
Interested persons are invited to submit written comments regarding the nonpublic nursing facility supplementation payment to the Department of Human Services, Office of Long-Term Living, Bureau of Policy and Regulatory Management, Attention: Marilyn Yocum, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments received within 30 days will be reviewed and considered for any subsequent revision of the notice.
Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).
TERESA D. MILLER,
Fiscal Note: 14-NOT-1226. (1) General Fund; (2) Implementing Year 2017-18 is $5,000,000; (3) 1st Succeeding Year 2018-19 through 5th Succeeding Year 2022-23 are $0; (4) 2016-17 Program—$1,082,000,000; 2015-16 Program—$968,083,000; 2014-15 Program—$810,545,000; (7) MA—Long-Term Care; (8) recommends adoption. Funds have been included in the budget to cover this increase.
[Pa.B. Doc. No. 18-696. Filed for public inspection May 4, 2018, 9:00 a.m.]
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