208.225. Medicaid per diem rate recalculation for nursing homes, amount. - Missouri Statutes

Medicaid per diem rate recalculation for nursing homes, amount.

208.225. 1. To implement fully the provisions of section 208.152,the division of medical services shall calculate the Medicaid per diemreimbursement rates of each nursing home participating in the Medicaidprogram as a provider of nursing home services based on its costs reportedin the Title XIX cost report filed with the division of medical servicesfor its fiscal year as provided in subsection 2 of this section.

2. The recalculation of Medicaid rates to all Missouri facilitieswill be performed as follows: effective July 1, 2004, the department ofsocial services shall use the Medicaid cost report containing adjustedcosts for the facility fiscal year ending in 2001 and redetermine theallowable per-patient day costs for each facility. The department shallrecalculate the class ceilings in the patient care, one hundred twentypercent of the median; ancillary, one hundred twenty percent of the median;and administration, one hundred ten percent of the median cost centers.Each facility shall receive as a rate increase one-third of the amount thatis unpaid based on the recalculated cost determination.

(L. 2004 S.B. 1123, A.L. 2005 S.B. 539)