101 CMR, § 204.09 - Certain COVID-19-related Costs Add-on Payment Provisions
(1)
General
Provision. Resident care facilities eligible under
101
CMR 204.09 will receive an add-on payment
that must be used to reimburse for costs related to COVID-19 in accordance with
St. 2022, c. 268. This add-on payment, which is to be made in accordance with
St. 2022, c. 268, is intended to be made in calendar year 2024 and represents
approximately half of the payments intended to be made to resident care
facilities with rates established in 101 CMR 204.00.
(2)
Calculation of Certain
COVID-19 Related Costs Add-on Payment. EOHHS will calculate the
add-on payment for each facility as follows.
(a) Determine the total number of resident
care beds as of June 7, 2023, that are
1. in
resident care facilities licensed by DPH;
2. in resident care facilities that are not
subject to licensure pursuant to M.G.L. c. 111, §73B, and had SSI/SSP or
EAEDC days in calendar year 2021; or
3. in facilities that are licensed by DPH as
nursing facilities, but where such facility has a majority of resident care
beds over nursing beds, and where such facility has not otherwise received
payments for either resident care or nursing beds pursuant to 101 CMR
206.00.
(b) Divide
$14,334,990 by the total number of DPH-licensed beds identified pursuant to
101
CMR 204.09(2)(a).
(c) Multiply the quotient determined by the
methodology described at
101
CMR 204.09(2)(b) by the
number of DPH-licensed beds for the facility as of the date identified at
101
CMR 204.09(2)(a).
(3)
Permissible Uses
of Certain COVID-19 Related Costs Add-on Payments. Facilities may
use the add-on payments made in accordance with
101
CMR 204.09 only for COVID-19-related costs
including, but not necessarily limited to, investments to support the direct
care workforce; COVID-19 preparedness efforts or measures including, but not
limited to, increasing uptake of the COVID-19 vaccine, infection control and
quality improvement, and personal protective equipment; capital improvements to
improve the health, safety, and care of residents; and other COVID-19 related
costs.
(4)
Further
Guidance. EOHHS may, by administrative bulletin or other written
issuance, clarify substantive provisions of
101
CMR 204.09, update permissible uses of
certain COVID-19 related costs add-on payments, or establish additional
reporting or recordkeeping requirements with respect to COVID-19 related costs
add-on payments.
Notes
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