101 CMR, § 206.02 - General Definitions
As used in 101 CMR 206.00, unless the context requires otherwise, terms have the following meanings.
Administrative and General Costs
.
Administrator in Training . A person registered with the Board of Registration of Nursing Home Administrators and involved in a course of training as described in 245 CMR: Board of Registration of Nursing Home Administrators.
Audit
. An examination of the
Base Year . The calendar year used to compute the standard payments.
Body Mass Index (BMI) . A person's weight divided by their height.
Capital Costs
.
Center
. The
Centers for Medicare and Medicaid Services (CMS). The federal agency under the U.S. Department of Health and Human Services that is responsible for administering the Medicare and Medicaid programs.
Department of Public Health (DPH) . An agency of the Commonwealth of Massachusetts, established under M.G.L. c. 17, § 1.
Direct Restorative Therapy
. Services
of physical therapists, occupational therapists, and speech, hearing, and
language therapists provided directly to individual residents to reduce
physical or mental disability and to restore the resident to maximum functional
level.
Equipment . A fixed asset, usually moveable, accessory or supplemental to the building, including such items as beds, tables, and wheelchairs.
Executive Office of Health and Human Services (EOHHS). The executive department of the Commonwealth of Massachusetts established under M.G.L. c. 6A, § 2 that, through the Executive Office of Elder Affairs, the MassHealth program, and other agencies within EOHHS, as appropriate, operates and administers the programs of medical assistance and medical benefits under M.G.L. c. 118E and that serves as the single state agency under § 1902(a)(5) of the Social Security Act.
Financing Contribution . Payment for the use of necessary capital assets whether internally or externally funded.
Generally Available Employee Benefits . Employee benefits that are nondiscriminatory and available to all full-time employees.
Hospital-based Nursing Facility
. A
separate
Improvements
. Expenditures that
increase the quality of the building by rearranging the building layout or
substituting improved components for old components so that the
Indirect Restorative Therapy
.
Induction Period
. Days that a
Industrial Accident Resident
. A person
receiving
Management Minute Questionnaire (MMQ) . A method of measuring resident care intensity, or case mix, by discrete care giving activities or the characteristics of residents found to require a given amount of care.
Massachusetts Corporate Excise Tax
.
Those taxes that have been paid to the Massachusetts Department of Revenue in
connection with the filing of Form 355A,
Medication for Addiction Treatment . Use of a medication approved by the federal Food and Drug Administration (FDA) for the treatment of a substance use disorder.
Minimum Data Set (MDS)
. A CMS-provided
standardized assessment tool for nursing facilities to determine a
Mortgage Acquisition Costs . Those costs (such as finder's fees, certain legal fees, and filing fees) necessary to obtain long-term financing through a mortgage, bond, or other long-term debt instrument.
Nursing Costs
.
Nursing Facility
. A nursing or
convalescent home; an infirmary maintained in a town; a charitable home for the
aged, as defined in M.G.L. c. 111, § 71; or a
Operating Costs
.
Opioid Treatment Program (OTP)
. A
program that provides
Opioid Treatment Services . Supervised assessment and treatment of an individual using FDA-approved medications (including methadone, buprenorphine, buprenorphine/naloxone, and naltrexone), along with a comprehensive range of medical and rehabilitative services, when clinically necessary, to alleviate the adverse medical, psychological or physical effects incident to opioid use disorder. Opioid Treatment Services encompasses withdrawal management services and maintenance treatment.
Patient Days
. The total number of days
of occupancy by residents in the facility. The day of admission is included in
the computation of
Patient Driven Payment Model (PDPM)
.
The case mix classification system provided by CMS to classify
Patient Driven Payment Model (PDPM) Nursing Case Mix. One of the five case-mix adjusted components of the CMS Patient Driven Payment Model.
Private Nursing Facility
. A
Provider
. A
Prudent Buyer Concept . The assumption that a purchase price that exceeds the market price for a supply or service is an unreasonable cost.
Publicly Aided Resident
. A person for
whom care in a
Rate Year . The 12-month period from October 1st through September 30th.
Related Party
. An individual or
organization associated or affiliated with, or that has control of, or is
controlled by, the
Replacement Facility
. A
Reported Costs . All costs reported in the cost report.
Required Education
. Educational
activities, conducted by a recognized school or authorized organization,
required to maintain a professional license of employees that provide care to
publicly aided residents.
Residential Care
. The minimum basic
care and services and protective supervision required by the Department of
Public Health in accordance with 105 CMR 150.000:
Residential Care Unit
. A
State Fiscal Year (SFY) . The 12-month period from July 1st through June 30th.
Unit
. A
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
As used in 101 CMR 206.00, unless the context requires otherwise, terms have the following meanings.
Administrative and General Costs .
Administrator in Training . A person registered with the Board of Registration of Nursing Home Administrators and involved in a course of training as described in 245 CMR: Board of Registration of Nursing Home Administrators.
Audit . An examination of the
Base Year . The calendar year used to compute the standard payments.
Body Mass Index (BMI) . A person's weight divided by their height.
Capital Costs .
Center . The
Centers for Medicare and Medicaid Services (CMS). The federal agency under the U.S. Department of Health and Human Services that is responsible for administering the Medicare and Medicaid programs.
Department of Public Health (DPH) . An agency of the Commonwealth of Massachusetts, established under M.G.L. c. 17, § 1.
Direct Restorative Therapy . Services of physical therapists, occupational therapists, and speech, hearing, and language therapists provided directly to individual residents to reduce physical or mental disability and to restore the resident to maximum functional level.
Equipment . A fixed asset, usually moveable, accessory or supplemental to the building, including such items as beds, tables, and wheelchairs.
Executive Office of Health and Human Services (EOHHS). The executive department of the Commonwealth of Massachusetts established under M.G.L. c. 6A, § 2 that, through the Executive Office of Elder Affairs, the MassHealth program, and other agencies within EOHHS, as appropriate, operates and administers the programs of medical assistance and medical benefits under M.G.L. c. 118E and that serves as the single state agency under § 1902(a)(5) of the Social Security Act.
Financing Contribution . Payment for the use of necessary capital assets whether internally or externally funded.
Generally Available Employee Benefits . Employee benefits that are nondiscriminatory and available to all full-time employees.
Hospital-based Nursing Facility . A separate
Improvements . Expenditures that increase the quality of the building by rearranging the building layout or substituting improved components for old components so that the
Indirect Restorative Therapy .
Induction Period . Days that a
Industrial Accident Resident . A person receiving
Management Minute Questionnaire (MMQ) . A method of measuring resident care intensity, or case mix, by discrete care giving activities or the characteristics of residents found to require a given amount of care.
Massachusetts Corporate Excise Tax . Those taxes that have been paid to the Massachusetts Department of Revenue in connection with the filing of Form 355A,
Medication for Addiction Treatment . Use of a medication approved by the federal Food and Drug Administration (FDA) for the treatment of a substance use disorder.
Minimum Data Set (MDS) . A CMS-provided standardized assessment tool for nursing facilities to determine a
Mortgage Acquisition Costs . Those costs (such as finder's fees, certain legal fees, and filing fees) necessary to obtain long-term financing through a mortgage, bond, or other long-term debt instrument.
Nursing Costs .
Nursing Facility . A nursing or convalescent home; an infirmary maintained in a town; a charitable home for the aged, as defined in M.G.L. c. 111, § 71; or a
Operating Costs .
Opioid Treatment Program (OTP) . A program that provides
Opioid Treatment Services . Supervised assessment and treatment of an individual using FDA-approved medications (including methadone, buprenorphine, buprenorphine/naloxone, and naltrexone), along with a comprehensive range of medical and rehabilitative services, when clinically necessary, to alleviate the adverse medical, psychological or physical effects incident to opioid use disorder. Opioid Treatment Services encompasses withdrawal management services and maintenance treatment.
Patient Days . The total number of days of occupancy by residents in the facility. The day of admission is included in the computation of
Patient Driven Payment Model (PDPM) . The case mix classification system provided by CMS to classify
Patient Driven Payment Model (PDPM) Nursing Case Mix. One of the five case-mix adjusted components of the CMS Patient Driven Payment Model.
Private Nursing Facility . A
Provider . A
Prudent Buyer Concept . The assumption that a purchase price that exceeds the market price for a supply or service is an unreasonable cost.
Publicly Aided Resident . A person for whom care in a
Rate Year . The 12-month period from October 1st through September 30th.
Related Party . An individual or organization associated or affiliated with, or that has control of, or is controlled by, the
Replacement Facility . A
Reported Costs . All costs reported in the cost report.
Required Education . Educational activities, conducted by a recognized school or authorized organization, required to maintain a professional license of employees that provide care to publicly aided residents.
Residential Care . The minimum basic care and services and protective supervision required by the Department of Public Health in accordance with 105 CMR 150.000:
Residential Care Unit . A
State Fiscal Year (SFY) . The 12-month period from July 1st through June 30th.
Unit . A