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Information on Changes to Nursing Facility Rules Effective October 29, 2007
The Division of Rate Setting is implementing changes to its rules, Methods, Standards and Principles for Establishing Medicaid Payment Rates for Long-Term Care Facilities. These changes take effect October 29, 2007.
The Adopted Rule and a document titled Description of Changes to Final Proposed Rules are available by clicking on the files in the boxes below.
Division of Rate Setting
Ladd Hall, Third Floor
103 South Main Street
Waterbury VT 05671
Phone: 802-241-4544
Fax: 802-241-3586
E-mail: leslie.wisdom@ahs.state.vt.us
The Adopted Rule and a document titled Description of Changes to Final Proposed Rules are available by clicking on the files in the boxes below.
| Adopted Rules in .pdf | Description of Changes to Final Proposed Rule in .pdf |
The substantive amendments were undertaken in response to the recommendations in the final report of the Vermont Nursing Home Medicaid Reimbursement Methodology Task Force, dated January 4, 2007. Major changes include:
- Remove the sunset on the 90 percent minimum occupancy requirement and updating of occupancy between rebases for facilities that reduce the number of their licensed beds;
- Rebase all costs on July 1, 2007;
- Biennial rebasing of costs in the Nursing Care category;
- Enhancement of inflation factor for Nursing Care cost category by adding one percentage point for each year, prorated for each fraction of a year from the midpoint of the base year to the midpoint of the rate year;
- Increase the cap on Nursing Care costs to the 90th percentile cost per case-mix point;
- Increase the cap on the Indirect cost category to the median plus five percent;
- Reclassify costs of the MDS coordinator, which are now included in the Indirect cost category to the Nursing Care cost category.
Contact
For more information, contact:
Leslie Wisdom, Esq.Division of Rate Setting
Ladd Hall, Third Floor
103 South Main Street
Waterbury VT 05671
Phone: 802-241-4544
Fax: 802-241-3586
E-mail: leslie.wisdom@ahs.state.vt.us
