Payment Methodology for Nursing Home Services

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO: RULE TITLE
59G-6.010: Payment Methodology for Nursing Home Services

NOTICE OF CHANGE

Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 33 No. 13, March 30, 2007 issue of the Florida Administrative Weekly.

The Title XIX Long-Term Care Reimbursement Plan, Version XXXI, has been amended as follows:

1.     Section IV: paragraph (B) has been amended to reflect the fact that the reimbursement classes are contained in both paragraphs V.A.2 and V.A.3.

2.     Section IV: paragraph (N) has been amended to reflect the deletion of subsection (b)(2) and the year 2002 from the reference to 42 CFR 447.272 in order for the complete 42 CFR 447.272 citation to be used as reference and not just one specific subsection of one particular year. The quotation marks have been removed from this paragraph because we will no longer paraphrase from 42 CFR 447.272. Finally, the phrase “by category” has been added to this paragraph to clarify that the long-term care facilities currently participating in the upper payment limit program in all the categories specified by 42 CFR 447.272 are in compliance with 42 CFR 447.272.