Chapter 90. Methods and Standards for Establishing Payment Rates for Long-Term Care  


Section 10. Methods and standards for establishing payment rates for long-term care
Section 11. Public comment process
Section 19. Supplemental payments for government-owned nursing facilities
Section 20. [Repealed]
Section 29. Transition to new capital payment methodology
Section 30. Plant cost
Section 31. New nursing facilities and bed additions
Section 32. Major capital expenditures
Section 33. Financing
Section 34. Purchases of nursing facilities (NF)
Section 35. General applicability
Section 36. Nursing facility capital payment methodology
Section 37. Calculation of FRV per diem rate for capital; calculation of FRV rental amount; change of ownership
Section 38. Schedule of assets reporting
Section 39. Purchases of nursing facilities (NF)
Section 40. Operating cost
Section 41. Nursing facility reimbursement formula
Section 42. [Repealed]
Section 44. Nursing facility price-based payment methodology
Section 45. [Reserved]
Section 50. Allowable costs
Section 51. Purchases/related organizations
Section 52. Administrator/owner compensation
Section 53. Depreciation
Section 54. Rent/Leases
Section 55. Provider payments
Section 56. Legal fees/accounting
Section 57. Documentation
Section 58. Fraud and abuse
Section 59. [Reserved]
Section 60. Interim rate
Section 65. Final rate and effective for dates of services beginning July 1, 2001, through June 30, 2014
Section 70. Cost report submission
Section 75. Reporting form; accounting method; cost report extensions; fiscal year changes
Section 80. Time frames
Section 90. Retrospective rates
Section 100. [Reserved]
Section 110. Record retention
Section 120. Audit overview; scope of audit
Section 121. Field audit requirements
Section 122. Provider notification
Section 123. Field audit exit conference
Section 124. Audit delay
Section 125. Field audit time frames
Section 126. [Reserved]
Section 130. [Repealed]
Section 136. Elements of capital payment methodology not subject to appeal
Section 137. [Reserved]
Section 140. Individual expense limitation
Section 150. Cost report preparation instructions
Section 160. Stock acquisition; merger of unrelated and related parties
Section 165. Stock acquisition; merger of unrelated and related parties
Section 170. NATCEPs costs
Section 180. Criminal records checks
Section 190. Use of MMR-240
Section 200. Commingled investment income
Section 210. Provider notification
Section 220. Start-up costs
Section 221. Time frames
Section 222. Organizational costs
Section 223. [Reserved]
Section 230. Access to records
Section 240. Home office operating costs
Section 250. Lump sum payment
Section 251. Offset
Section 252. Payment schedule
Section 253. Extension request documentation
Section 254. Interest charge on extended repayment
Section 255. [Reserved]
Section 257. Credit balance reporting
Section 258. [Reserved]
Section 260. [Repealed]
Section 264. Specialized care services
Section 266. Traumatic Brain Injury (TBI) payment
Section 267. Private room differential
Section 270. Uniform Expense Classification
Section 271. Direct patient care operating
Section 272. Indirect patient care operating costs
Section 273. Plant costs
Section 274. Nonallowable expenses
Section 275. Nurse Aide Training and Competency Evaluation Programs (NATCEPs) costs
Section 276. Criminal records background checks
Section 280. Leasing of facilities
Section 290. Cost reimbursement limitations
Section 300. [Repealed]
Section 305. Resource Utilization Groups (RUGs)
Section 306. Case-mix index (CMI)
Section 307. Applicability of case-mix indices (CMI)
Section 310. Normalized Case Mix Index (NCMI)
Section 320. National RUG-III categories and weights
Section 330. Traumatic brain injury diagnoses
Appendix 9998. FORMS (12VAC30-90)
Appendix 9999. DOCUMENTS INCORPORATED BY REFERENCE (12VAC30-90)