§ 1187.92. Resident classification system.

 (a)  The Department will use the RUG-III to adjust payment for resident care services based on the classification of nursing facility residents into 44 groups.

 (b)  Each resident shall be included in the RUG-III category with the highest numeric CMI for which the resident qualifies.

 (c)  The Department will use the RUG-III nursing CMI scores normalized across all this Commonwealth’s nursing facility residents.

 (d)  The Department will announce, by notice submitted for recommended publication in the Pennsylvania Bulletin and suggested codification in the Pennsylvania Code as Appendix A, the RUG-III nursing CMI scores and the PA normalized RUG-III index scores.

 (e)  The PA normalized RUG-III index scores will remain in effect until a subsequent notice is published in the Pennsylvania Bulletin.

 (f)  Resident data for RUG-III classification purposes shall be reported by each nursing facility under §  1187.33 (relating to resident data reporting requirements).

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