Kan. Admin. Regs. § 30-10-225 - ICF-MR client days
(a) Calculation of
client days.
(1) Client day has the meaning
set forth in K.A.R. 30-10-200.
(2)
If both admission and discharge occur on the same day, that day shall be
considered to be a day of admission and shall count as one client day.
(3) If the provider does not make
refunds on behalf of a client for unused days in case of death or discharge,
and if the bed is available and actually used by another client, these unused
days shall not be counted as a client day.
(4) Any bed days paid for by the client, or
any other party on behalf of the client, before an admission date shall not be
counted as a client day.
(5) The
total client days for the cost report period shall be precise and documented;
an estimate of the days of care provided shall not be acceptable.
(6) In order to facilitate accurate and
uniform reporting of client days, the accumulated method format set forth in
forms prescribed by the secretary shall be used for all clients. These forms
shall be submitted to the agency as supportive documentation for the client
days shown on the cost report forms and shall be submitted at the time the cost
report forms are submitted to the agency. Each provider shall keep these
monthly records for each client, whether a medicaid/medikan recipient or a
non-recipient. If a provider fails to keep accurate records of client days in
accordance with the accumulated method format, the assumed occupancy rate shall
be 100%.
(7) The provider shall
report the total number of medicaid/medikan client days in addition to the
total client days on the uniform cost report form.
(b) Any provider which has an occupancy rate
of less than 90% for the cost report period shall calculate client days at a
minimum occupancy of 90%.
(c) The
minimum occupancy rate shall be determined by multiplying the total licensed
bed days available by 90%. Therefore, in order to participate in the
medicaid/medikan program, each ICF-MR provider shall obtain proper
certification for all licensed beds.
(d) Respite care days shall be counted as
client days and reported on the monthly census forms.
(e) Day care and day treatment shall be
counted as one client day for 18 hours of service. The total hours of service
provided for all clients during the cost reporting year shall be divided by 18
hours to convert to client days.
Notes
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