249K.2 - DEFINITIONS. - Iowa Statutes

249K.2 DEFINITIONS. As used in this chapter, unless the context otherwise requires: 1. "Complete replacement" means completed construction on a new nursing facility to replace an existing licensed and certified facility. The replacement facility shall be located in the same geographical service area as the facility that is replaced and shall have the same number or fewer licensed beds than the original facility. 2. "Department" means the department of human services. 3. "Iowa Medicaid enterprise" means Iowa Medicaid enterprise as defined in section 249J.3. 4. "Major renovations" means construction or facility improvements to a nursing facility in which the total amount expended exceeds one million five hundred thousand dollars. 5. "Medical assistance" or "medical assistance program" means the medical assistance program created pursuant to chapter 249A. 6. "New construction" means the construction of a new nursing facility which does not replace an existing licensed and certified facility and requires the provider to obtain a certificate of need pursuant to chapter 135, division VI. 7. "Nondirect care component" means the portion of the reimbursement rate under the medical assistance program attributable to administrative, environmental, property, and support care costs reported on the provider's financial and statistical report. 8. "Nursing facility" means a nursing facility as defined in section 135C.1. 9. "Provider" means a current or future owner or operator of a nursing facility that provides medical assistance program services. 10. "Rate determination letter" means the letter that is distributed quarterly by the Iowa Medicaid enterprise to each nursing facility, which is based on previously submitted financial and statistical reports from each nursing facility.          Section History: Recent Form 2007 Acts, ch 219, §36, 41, 43          Footnotes Approval received April 17, 2008, from centers for Medicare and Medicaid services of the United States department of health and human services for medical assistance state plan amendment effective October 1, 2007; approval of instant relief or nondirect care limit exception dependent on extent of available funding; 2007 Acts, ch 219, §41