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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 29. PUBLIC WELFARE |
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Chapter 29-65. MEDICAID REIMBURSEMENT TO NURSING FACILITIES |
Section 29-6506. ROUTINE AND SUPPORT COSTS PER DIEM CALCULATION
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6506.1Each nursing facility's routine and support costs per diem shall be established by dividing total allowable routine and support base year costs adjusted in accordance with subsection 6501.4 by total resident days determined in accordance with subsection 6512.2 for all nursing care residents.
6506.2The ceiling established in accordance with subsections 6502.2 and 6502.3 for routine and support costs for each peer group shall be multiplied by 139.3 percent (139.3%).
6506.3Each nursing facility's routine and support cost per diem shall be the lower of the facility-specific per diem calculated in subsection 6506.1 or the adjusted ceiling relative to each nursing facility calculated in accordance with subsection 6506.2.
6506.4Each nursing facility shall be entitled to an incentive add-on of 25 percent (25%) of the difference between the facility-specific per diem rate established in subsection 6506.1 and the adjusted ceiling calculated in accordance with subsection 6506.2, if the facility-specific per diem rate calculated in accordance with subsection 6506.1 is lower than the adjusted ceiling established in subsection 6506.2.