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PA Bulletin, Doc. No. 12-2113

NOTICES

Payment for Nursing Facility Services Provided by County Nursing Facilities that Privatize; Change in Methods and Standards of Setting Payment Rates

[42 Pa.B. 6839]
[Saturday, October 27, 2012]

 The Department of Public Welfare (Department) is proposing to amend its methods and standards for payment of Medical Assistance (MA) nursing facility services to county nursing facilities that privatize beginning November 1, 2012.

Proposed Changes

 For county nursing facilities that have a change of ownership from a county ownership to a private nursing facility provider, the Department is proposing to determine the per diem rate using the peer group price for resident care, other resident related and administrative costs from the appropriate peer group in accordance with 55 Pa. Code § 1187.94 (relating to peer grouping for price setting) until there is a nursing facility cost report submitted by the new provider audited for use in the rebasing process. The resident assessment data from the former county nursing facility will be used to establish the MA case-mix index in the resident care rate calculation. If the facility's beds are eligible for the capital component of payment, then the fixed property component will be the only component in the capital portion of the case-mix rate until a nursing facility cost report submitted by the new provider is audited for use in the rebasing process.

Fiscal Impact

 No fiscal impact is anticipated as a result of these changes.

Public Comment

 Interested persons are invited to submit written comments regarding this notice to the Department of Public Welfare, Office of Long-Term Living, Attention: Marilyn Yocum, Department of Public Welfare/Department of Aging, Office of Long-Term Living, Policy and Strategic Planning, 555 Walnut Street, Forum Place, 5th Floor, Harrisburg, PA 17101-1919. 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).

GARY D. ALEXANDER, 
Secretary

 Fiscal Note: 14-NOT-800. No fiscal impact; (8) recommends adoption.

[Pa.B. Doc. No. 12-2113. Filed for public inspection October 26, 2012, 9:00 a.m.]


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