20090304-IR-405080602ONA LSA Document #08-602  

  • TITLE 405 OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES

    LSA Document #08-602


    Notice of Final Rate Changes in Methods and Standards
    of Medicaid Reimbursement for Pediatric Nursing Facilities

    Under IC 4-22-7-7, and in accordance with 42 U.S.C.A. 1396a(a)(13)(A), the Office of the Secretary of Family and Social Services announces that final rates for changes to methods and standards governing reimbursement policy the institutions that qualify for a capital component rate add-on, the calculation of a capital component rate add-on, and the funding exemptions that apply to the capital component rate add-on have been published and are available for public inspection. The rates are as follows:

    Provider Name  Current Rate  Estimated Add–On  Final Rates Including Capital Rate Add–on 
    Especially Kidz  281.02  3.52  $284.54 
    Vernon Manor  173.06  8.41  $181.47 

    OMPP modified the existing reimbursement methodology at 405 IAC 1-14.6-7 to describe nursing facilities that qualify for the capital rate add-on as being facilities that house a population of which at least one-quarter is under 21 years of age on December 31, 2006, that have certain maximum room occupancies, and that have certain minimum room sizes. Related exemptions from the capital component overall rate ceiling and the maximum allowable increase respectively in 405 IAC 1-14.6-9(c)(4) and 405 IAC 1-14.6-23 are also described. The agency promulgated this rule due to the need for modernized pediatric long-term care facilities in the state.

    Posted: 03/04/2009 by Legislative Services Agency

    DIN: 20090304-IR-405080602ONA
    Composed: Nov 01,2016 12:36:15AM EDT
    A PDF version of this document.