It is assumed the facilities will request an increase to their Medicaid per diem. This is based on the assumption that new construction and facilities with new additions receive a higher per diem. Costs associated with new construction would impact the DMS for 2 months of FY 01 and 12 months of FY 02. The statewide average number of Medicaid beds per facility is 95 beds. It is assumed the facilities will request an increase to their Medicaid per diem.
Current regulation allows for a rate increase because of the addition of beds.
The fees are deposited into the Nursing Facility Quality Care Fund. The fiscal impact to these small businesses cannot be determined. This proposal revises the certificate of need law. It extends the certificate of need moratorium on additional or new beds until December 31, 2001. In addition, it allows the Missouri Health Services Review Committee to allow a facility to expand up to twenty-five percent of its licensed capacity, not to exceed thirty new beds, if that facility has had over ninety percent occupancy for the last year.