2011 Idaho Code
TITLE 56 PUBLIC ASSISTANCE AND WELFARE
CHAPTER 15 IDAHO SKILLED NURSING FACILITY ASSESSMENT ACT
56-1511 ANNUAL NURSING FACILITY ADJUSTMENT PAYMENTS.

annual nursing facility adjustment payments. [EFFECTIVE UNTIL JULY 1, 2012.] (1) All nursing facilities, with the exception of the state facilities, shall be eligible for annual nursing facility adjustments.

(2) For the purpose of this section, "medicaid days" are days of nursing facility services paid for by the Idaho medical assistance program for the applicable state fiscal year.

(a) For state fiscal year 2011, medicaid days for each provider's cost report ending in calendar year 2008, shall be utilized to determine the nursing facility adjustment payment. When there is not a change in ownership, adjustment payments for a new provider without a full year 2008 cost report shall be determined using more current medicaid patient day information obtained from the provider.

(b) For state fiscal year 2012, medicaid days for each provider's cost report ending in calendar year 2009, shall be utilized to determine the nursing facility adjustment payment. When there is not a change in ownership, adjustment payments for a new provider without a full year 2009 cost report shall be determined using more current medicaid patient day information obtained from the provider.

(3) Adjustment payments shall be paid on an annual basis to reimburse covered medicaid expenditures in the aggregate within the upper payment limit.

(4) If a provider does not pay its annual assessment within thirty (30) days after the receipt of the department invoice, no further rate adjustment payments shall be made to the provider until the receipt of all assessments in arrears. If a provider pays its annual assessment more than sixty (60) days after receiving the department invoice, the subsequent adjustment payment shall be reduced twenty percent (20%).

(5) The provisions of this section shall be null, void and of no force and effect on July 1, 2012. 56-1511. annual nursing facility adjustment payments. [EFFECTIVE JULY 1, 2012.] (1) All nursing facilities, with the exception of the state and county-owned facilities, shall be eligible for annual nursing facility adjustments.

(2) For the purpose of this section, "nursing facility days" are days of nursing facility services paid for by the Idaho medical assistance program for the applicable state fiscal year.

(a) For state fiscal year 2010, medicaid days for each provider's cost report ending in calendar year 2008 shall be utilized to determine the nursing facility adjustment payment.

(b) For state fiscal year 2011, medicaid days for each provider's cost report ending in calendar year 2009 shall be utilized to determine the nursing facility adjustment payment.

(3) Adjustment payments shall be paid on an annual basis to reimburse covered medicaid expenditures in the aggregate within the upper payment limit.

(4) Each annual payment shall be made no later than thirty (30) days after the receipt of the last annual deposit of the nursing facility assessments required in section 56-1504, Idaho Code.