Citations Affected: None (noncode).
Synopsis: Nursing home case mix reimbursement system. Requires
the state's Medicaid nursing home rate setting contractor to consider
certain information when setting payment rates. (The introduced
version of this bill was prepared by the select joint commission on
Effective: Upon passage.
January 14, 2002, read first time and referred to Committee on Health and Provider
A BILL FOR AN ACT concerning Medicaid.
SECTION 1. [EFFECTIVE UPON PASSAGE] (a) The definitions
in 405 IAC 1-14.6, as in effect on January 1, 2002, apply
throughout this SECTION.
(b) The state's rate setting contractor shall each calendar quarter calculate the median for each rate component, using all cost reports received by the state or the state's rate setting contractor within one hundred fifty (150) days after the end of each provider's fiscal year.
(c) The rate setting contractor shall request any additional information needed under subsection (b) from the provider not later than twenty-one (21) days after the cost report is received by the rate setting contractor. The rate setting contractor shall include in the calculation of the median any response received within one hundred ninety (190) days after the end of the provider's fiscal year.
(d) If an audit report is issued for a provider within one hundred fifty days (150) after the end of the provider's fiscal year, the rate setting contractor may request additional information
relative to the audit report. If the audit report is issued later than
one hundred fifty (150) days after the end of the provider's fiscal
year, the rate setting contractor may not request additional
information relative to the audit report for the rate review.
SECTION 2. An emergency is declared for this act.