[Provider] Adopted Rule for Section 67, Nursing Facilities

[Provider Notification]

ATTENTION:        MaineCare Providers of Section 67 services 
 
This message is to give notice that rules have been adopted for Chapter
III Section 67, Principles of Reimbursement for Nursing Facilities.
Adopted rules are final and no changes can be made at this point.

 

CHAPTER NUMBER AND TITLE:  MaineCare Benefits Manual, Chapter III,
Section 67, Principles of Reimbursement for Nursing Facilities

 

CONCISE SUMMARY:  In this emergency rule making, the Department is
implementing changes in the rate methodology as well as providing an
additional one time payment for the quarter between October 1, 2008 and
December 31, 2008.  Specifically, the rate methodology alters the base
year from 1998 to 2005.  The rule also establishes a new prospective per
diem rate by adding a direct care regional cost component and a hold
harmless provision to the rule.  Other changes are made in this
rulemaking that include changes in medical director costs and waiver of
administrator costs that are included under the management ceiling.  The
Department has budgeted $9,388,889 (federal and state funds) for FY '09
for this rate methodology change. This amount is derived out of the
original $16,353,230 appropriated by the State Legislature, Public Law
2007, Ch. 240, Pt. A., after other budgetary changes were made.

 

EFFECTIVE DATE:                          December 16, 2008 - March 15,
2009

 

AGENCY CONTACT PERSON:       Alyssa Morrison, Health Planner

      AGENCY NAME:                        Division of Policy and
Performance 

      ADDRESS:                                   442 Civic Center Drive

                                                            11 State
House Station

                                                            Augusta,
Maine 04333-0011

      TELEPHONE:                    (207)-287-9368 FAX: (207) 287-9369

                                       TTY: 1-800-423-4331 or
207-287-1828 (Deaf/Hard of Hearing)

________________________________________________________________________
______

 

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