Iowa Code r. 441-36.3 - Nursing facility assessment
(1)
Applicability. All nursing facilities as defined in Iowa Code
section 135C.1 that are freestanding
facilities or are operated by a hospital licensed pursuant to Iowa Code chapter
135B shall pay a quarterly assessment to the department, as determined under
these rules, with the exception of:
a.
Nursing facilities operated by the state.
b. Non-state government-owned or
government-operated nursing facilities.
c. Distinct-part skilled nursing units and
swing-bed units operated by a hospital.
(2)
Assessment level.
a. Effective April 1, 2023, nursing
facilities with 46 or fewer licensed beds are required to pay a quality
assurance assessment of $6.51 per non-Medicare patient day. Effective with
assessment for the state fiscal year beginning July 1, 2021, the number of
licensed beds on file with the department of inspections, appeals, and
licensing as of June 1 of each year shall be used to determine the assessment
level for the following state fiscal year.
b. Effective July 1, 2024, nursing facilities
designated as continuing care retirement centers (CCRCs) by the insurance
division of the department of insurance and financial services are required to
pay a quality assurance assessment of $6.51 per non-Medicare patient day.
Effective with the assessment for the state fiscal year beginning July 1, 2021,
continuing care retirement center designations as of June 1 of each year shall
be used to determine the assessment level for the following state fiscal
year.
c. Effective April 1, 2023,
nursing facilities with annual Iowa Medicaid patient days of 19,000 or more are
required to pay a quality assurance assessment of $6.51 per non-Medicare
patient day. Effective with assessment for the state fiscal year beginning July
1, 2021, the annual number of Iowa Medicaid patient days reported in the most
current cost report submitted to the department as of June 1 of each year shall
be used to determine the assessment level for the following state fiscal
year.
d. Effective April 1, 2023,
all other nursing facilities are required to pay a quality assurance assessment
of $33.90 per non-Medicare patient day.
Notes
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