The Department establishes interim per diem rates on the
basis of the following methods and in accordance with §
1181.68 (relating to upper limits
of payment):
(1) For general and county
nursing facilities, interim per diem rates within the ceilings on net operating
costs will be established by the Department based on the latest adjusted
reported net operating cost of the facility plus an allowance for depreciation
and interest. For the period July 1, 1995, through December 31, 1995, the
interim rate will be calculated in this manner, except that if the interim rate
for a nursing facility (excluding depreciation and interest) is less than the
ceiling on net operating costs to be applied during this period, the interim
rate for the nursing facility will be increased by 2% to reflect inflation up
to the upper limits on payment as stated in §
1181.68.
(2) For State-operated intermediate care
facilities for the mentally retarded, interim per diem rates will be
established by the Department based on the latest adjusted reported costs and
approved budgets. For non-State intermediate care facilities for the mentally
retarded, interim per diem rates will be established by the Department based on
the latest adjusted cost report plus an inflationary factor, or a submitted
budget if a waiver is granted in accordance with Subchapter C
(Reserved).
(3) For psychiatric
transitional facilities, interim per diem rates will be established by the
Department based on latest adjusted reported costs and approved
budgets.
(4) For facilities entering
the program and for facilities in the programs with changes of ownership,
except for intermediate care facilities for the mentally retarded, the
facility's projected MA-11 cost report will be used to set the interim rate for
MA during the initial period of operation pending the filing of the first
year-end cost report.
Notes
The
provisions of this § 1181.67 codified July 24, 1981, effective
7/25/1981, 11 Pa.B. 2610;
amended May 3, 1985, effective retroactively as of July 1, 1984, 15 Pa.B. 1629;
amended July 21, 1995, effective immediately and apply retroactively to July 1,
1992, and sunsetted on June 30, 1995, 25 Pa.B. 2893; amended August 23, 1996,
effective immediately and apply to the time period from July 1, 1995, to
December 31, 1995, 26 Pa.B. 4086.
See 22 Pa.B. 3749 (July 18, 1992) for nursing home
pooling provisions.
The provisions of this § 1181.67 amended under sections
201, 403 and 443.1(2) and (3) of the Public Welfare Code (62 P. S. §§
201,
403 and
443.1(2) and
(3)).
This section cited in 55 Pa. Code §
1181.52 (relating to payment
conditions); and 55 Pa. Code §
1181.101 (relating to facility's
right to a hearing).
