D.C. Municipal Regulations (Last Updated: September 13, 2017) |
Title 29. PUBLIC WELFARE |
Chapter 29-65. MEDICAID REIMBURSEMENT TO NURSING FACILITIES |
Section 29-6513. EXCLUSIONS FROM ALLOWABLE COSTS
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6513.1The following categories of expense shall be excluded from allowable operating costs because they are not normally incurred in providing resident care:
(a)Fund raising expenses in excess of ten percent (10%) of the amount raised;
(b)Parties and social activities not related to resident care;
(c)Personal telephone, radio, and television services;
(d)Gift, flower and coffee shop expenses;
(e)Vending machines;
(f)Interest expenses and penalties due to late payment of bills or taxes, or for licensure violations; and
(g)Prescription drug costs.
6513.2The following expenditures shall reduce allowable costs:
(a)The greater of the revenues generated from employee and guest meals or the cost of the meals;
(b)The greater of the revenues generated from rental space in the facility or the cost of the rental space:
(c)Purchase discounts and allowances;
(d)Investment income for unrestricted funds to the extent that it exceeds interest expense on investments;
(e)Recovery of an insured loss:
(f)Grants, gift and income from endowments designated by the donor for specific operating expenses; and
(g)Any other income or expense item determined to reduce allowable costs pursuant to the Medicare Principles of Reimbursement.