2013 Session

Budget Amendments - SB800 (Committee Approved)

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Intent to Eliminate Occupancy Standard for Medicaid Nursing Home Reimbursement (language only)

Item 307 #5s

Item 307 #5s

Health And Human Resources
Medical Assistance Services, Department of

Page 280, after line 14, insert:
"JJJJ.  It is the intent of the General Assembly to eliminate the occupancy rule as it relates to reimbursement for nursing facility operating payments.  Prior to elimination, the Department of Medical Assistance Services shall review the use of this mechanism by other state Medicaid programs to reduce nursing facility operating payments.  The department shall also determine whether this tool is an incentive or disincentive for the provision of cost-effective, quality care.  The department shall report its findings to the Chairmen of the Senate Finance and House Appropriations Committees no later than November 1, 2013."

(This language amendment states that it is the intent of the General Assembly that the nursing home occupancy rule be eliminated. The amendment requires that the Department of Medical Assistance Services survey state Medicaid programs to determine how many use this limitation on nursing home operating rates and whether it is an effective tool for controlling Medicaid long-term care costs.)