Subchapter 37.40.3 - Reimbursement for Skilled Nursing and Intermediate Care Services

  1. Rule 37.40.301 - SCOPE, APPLICABILITY, AND PURPOSE
  2. Rule 37.40.302 - DEFINITIONS
  3. Rule 37.40.303 - Reserved
  4. Rule 37.40.304 - NURSING FACILITY SERVICES
  5. Rule 37.40.305 - NURSING FACILITY SERVICES: REIMBURSABLE SERVICES
  6. Rule 37.40.306 - PROVIDER PARTICIPATION AND TERMINATION REQUIREMENTS
  7. Rule 37.40.307 - NURSING FACILITY REIMBURSEMENT
  8. Rule 37.40.308 - RATE EFFECTIVE DATES
  9. Rule 37.40.309 - NURSING FACILITY REIMBURSEMENT (Repealed)
  10. Rule 37.40.310 - Reserved
  11. Rule 37.40.311 - RATE ADJUSTMENT FOR COUNTY FUNDED RURAL NURSING FACILITIES
  12. Rule 37.40.312 - Reserved
  13. Rule 37.40.313 - OPERATING COST COMPONENT (REPEALED)
  14. Rule 37.40.314 - DIRECT NURSING PERSONNEL COST COMPONENT (REPEALED)
  15. Rule 37.40.315 - STAFFING AND REPORTING REQUIREMENTS
  16. Rule 37.40.316 through 37.40.319 - Reserved
  17. Rule 37.40.320 - MINIMUM DATA SET SUBMISSION, TREATMENT OF DELAYS IN SUBMISSION, INCOMPLETE ASSESSMENTS, AND CASE MIX INDEX CALCULATION
  18. Rule 37.40.321 - CORRECTION OF ERRONEOUS OR MISSING DATA
  19. Rule 37.40.322 - OBRA NURSE AIDE TESTING AND TRAINING COST REPORTING
  20. Rule 37.40.323 - CALCULATED PROPERTY COST COMPONENT (REPEALED)
  21. Rule 37.40.324 - GRANDFATHERED PROPERTY COST COMPONENT (REPEALED)
  22. Rule 37.40.325 - CHANGE IN PROVIDER DEFINED
  23. Rule 37.40.326 - INTERIM PER DIEM RATES FOR NEWLY CONSTRUCTED FACILITIES AND NEW PROVIDERS
  24. Rule 37.40.327 through 37.40.329 - Reserved
  25. Rule 37.40.330 - SEPARATELY BILLABLE ITEMS
  26. Rule 37.40.331 - ITEMS BILLABLE TO RESIDENTS
  27. Rule 37.40.332 through 37.40.335 - Reserved
  28. Rule 37.40.336 - REIMBURSEMENT FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES
  29. Rule 37.40.337 - REIMBURSEMENT TO OUT-OF-STATE FACILITIES
  30. Rule 37.40.338 - BED HOLD PAYMENTS
  31. Rule 37.40.339 - MEDICARE HOSPICE BENEFIT - REIMBURSEMENT
  32. Rule 37.40.340 through 37.40.344 - Reserved
  33. Rule 37.40.345 - ALLOWABLE COSTS
  34. Rule 37.40.346 - COST REPORTING, DESK REVIEW AND AUDIT
  35. Rule 37.40.347 - COST SETTLEMENT PROCEDURES
  36. Rule 37.40.348 through 37.40.350 - Reserved
  37. Rule 37.40.351 - THIRD PARTY PAYMENTS AND PAYMENT IN FULL
  38. Rule 37.40.352 - UTILIZATION REVIEW AND QUALITY OF CARE
  39. Rule 37.40.353 through 37.40.359 - Reserved
  40. Rule 37.40.360 - LIEN AND ESTATE RECOVERY FUNDS FOR ONE-TIME EXPENDITURES (REPEALED)
  41. Rule 37.40.361 - DIRECT CARE AND ANCILLARY SERVICES WORKERS' WAGE REPORTING/ADDITIONAL PAYMENTS INCLUDING LUMP SUM PAYMENTS FOR DIRECT CARE AND ANCILLARY SERVICES WORKERS' WAGE AND BENEFIT INCREASES

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