Or. Admin. Code § 411-069-0000 - Definitions
Unless the context indicates otherwise, the following definitions apply to the rules in OAR chapter 411, division 069:
(1) "Assessment Rate" means the rate
established by the Director of the Department of Human Services.
(2) "Assessment Year" means a 12-month
period, beginning July 1 and ending the following June 30, for which the
assessment rate being determined, is to apply.
(3) "Deficiency" means the amount by which
the assessment as correctly computed exceeds the assessment, if any, reported
by the facility. If, after the original deficiency has been assessed,
subsequent information shows the correct amount of assessment to be greater
than previously determined, an additional deficiency arises.
(4) "Delinquency" means the facility failed
to pay the assessment as correctly computed when the assessment was
due.
(5) "Department" means the
Department of Human Services.
(6)
"Director" means the Director of the Department of Human Services.
(7) "Gross Revenue" means the revenue paid to
a long term care facility for patient care, room, board, and services, less
contractual adjustments. It does not include:
(a) Revenue derived from sources other than
long term care facility operations, including but not limited to donations,
interest, guest meals, or any other revenue not attributable to patient care;
and
(b) Hospital revenue derived
from hospital operations.
(8) "Long Term Care Facility" means a
facility with permanent facilities that includes inpatient beds and provides
medical services, including nursing services but excluding surgical procedures
except as may be permitted by the rules of the Director. A long term care
facility provides treatment for two or more unrelated patients and includes
licensed skilled nursing facilities and licensed intermediate care facilities,
but does not include facilities licensed and operated pursuant to ORS
443.400 to
443.455. A long term care
facility does not include any intermediate care facility for individuals with
intellectual or developmental disabilities.
(9) "Medicaid Patient Days" means patient
days attributable to patients who receive medical assistance under a plan
described in
42 U.S.C.
1396.
(10) "Patient Days" means the total number of
patients occupying beds in a long term care facility for all days in the
calendar period for which an assessment is being reported and paid. For
purposes of this subsection, if a long term care facility patient is admitted
and discharged on the same day, the patient shall be deemed to occupy a bed for
one day.
Notes
Statutory/Other Authority: ORS 409.050, 410.070 & 411.060
Statutes/Other Implemented: ORS 409.750 & OL 2003 Ch. 736
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