[Provider] Notice of Rules Adopted for Principles of Reimbursement for Nursing Faciliies

[Provider Notification]

ATTENTION:       MaineCare Nursing Facilities 

 

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

 

CONCISE SUMMARY:  The Department has permanently adopted rule changes
for Chapter III, Section 67, Principles of Reimbursement for Nursing
Facilities, in order to comply with budget appropriations for nursing
facility reimbursement and State statute for conversion of nursing
facility beds and medical director costs.  Specifically, the new rate
methodology changes the base year from 1998 to 2005 to calculate direct
care and routine care costs; the rule clarifies the impact of conversion
of nursing facility beds to residential care beds; and the base year
cost for medical director is increased from $1,200 to $10,000.  The
Department also adopts changes that establish a new prospective per diem
rate by adding a direct care regional cost component, hold harmless
provision, and direct care add-on to the rule.  In addition, all
providers will receive a one time payment for the time period between
July 1, 2008 and December 15, 2008, which equitably distributes a
portion of the money appropriated in the budget.  Other changes made in
this rulemaking include the ability for the Department to waive
administrator costs that are included under the management ceiling for
smaller nursing facilities of forty (40) or fewer beds.   Other minor
technical, format and grammatical changes were adopted.

 

EFFECTIVE DATE:                          March 15, 2009

 

AGENCY CONTACT PERSON:       Alyssa Morrison, Health Planner

 

TELEPHONE:                                    (207)-287-9342 

 

The Division of Policy posts all proposed and recently adopted rules
<http://www.maine.gov/bms/rules/provider_rules_policies.htm>  on
MaineCare's website.  This website keeps the proposed rules on file
until they are finalized and until the Secretary of State website is
updated to reflect the changes.  The MaineCare Benefit Manual is
available on-line at the Secretary of State's website
<http://www.maine.gov/sos/cec/rules/10/ch101.htm> .  

 

 

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This is a one-way communication.  Do not reply to this e-mail.  Your
e-mail will not receive response.  If you have questions, please call
1-800-321-5557.  

 

 

 

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