Kan. Admin. Regs. § 30-10-218 - ICF-MR non-reimbursable costs
(a) Costs not
related to client care, as set forth in K.A.R. 30-10-200, shall not be
considered in computing reimbursable costs. In addition, the following expenses
or costs shall not be allowed:
(1) Fees paid
to non-working directors and the salaries of non-working officers;
(2) bad debts;
(3) donations and contributions;
(4) fund-raising expenses;
(5) taxes, including:
(A) Federal income and excess profit taxes,
including any interest or penalties paid;
(B) state or local income and excess profits
taxes;
(C) taxes from which
exemptions are available to the provider;
(D) taxes on property which is not used in
providing covered services;
(E)
taxes levied against any client and collected and remitted by the provider;
(F) self-employment taxes
applicable to individual proprietors, partners, or members of a joint venture;
and
(G) interest or penalties paid
on federal and state payroll taxes;
(6) insurance premiums on lives of officers
and owners;
(7) the imputed value
of services rendered by non-paid workers and volunteers;
(8) utilization review;
(9) costs of social, fraternal, and other
organizations which concern themselves with activities unrelated to their
members' professional or business activities;
(10) oxygen;
(11) vending machine and related supplies;
(12) board of director costs;
(13) client personal purchases;
(14) barber and beauty shop
expenses;
(15) advertising for
client utilization;
(16) public
relations expenses;
(17)
penalties, fines, and late charges;
(18) items or services provided only to
non-medicaid/medikan clients and reimbursed from third party payors;
(19) automobiles and related accessories in
excess of $25,000.00. Buses and vans for client transportation shall be
reviewed for reasonableness and may exceed $25,000.00 in costs;
(20) airplanes and associated expenses;
(21) costs of legal fees incurred
in actions brought against the agency;
(22) aggregate costs incurred in excess of
historical or projected costs plus allowed inflation, without prior
authorization of the agency; and
(23) costs incurred through providing service
to a bed made available through involuntary discharge of a client as determined
by the Kansas department of health and environment without prior authorization
of the agency.
(b) The
following contract costs under the day habilitation program shall not be
allowed:
(1) Client salaries and FICA match;
(2) any material costs, including
sub-contracts;
(3) any costs
related to securing contracts; and
(4) 50 percent of the cost of the following
items:
(A) Cost of equipment lease;
(B) maintenance of equipment;
(C) purchase of small tools under
$100.00; and
(D) depreciation of
production equipment.
(c) Private ICFs/MR shall not be reimbursed
for services provided to individuals admitted on or after the effective date of
this regulation unless the community developmental disability organization
(CDDO) assigned by the agency first determines such persons meet eligibility
requirements established by the agency and the ICF/MR placement is consistent
with the preferred lifestyle of the person as specified by the person or the
person's guardian, if one has been appointed.
Notes
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