151-E:6-c Payment System for Nursing Facilities. –
The payment system for nursing facility level of care shall be as follows:
I. Rate calculation worksheets for all providers will be provided at least 30 days prior to the effective date of any rate changes.
II. Acuity levels must be updated at least semi-annually, on a regular, predictable basis using the latest available data.
III. The commissioner of the department of health and human services shall continue to evaluate the effectiveness of the acuity-based payment system for medicaid payments for nursing facility care. The commissioner shall determine if any changes in the payment system are appropriate.
IV. [Repealed.]
V. Any rate changes due to the updating of acuity or cost data shall occur only with proper prior notification and explanation to affected providers and the affected beneficiary population.
Source. 2001, 198:2, eff. July 5, 2001. 2012, 264:2, III, eff. Aug. 17, 2012.