Source: http://www.pacodeandbulletin.gov/Display/pabull?file=/secure/pabulletin/data/vol43/43-51/2395.html
Timestamp: 2020-01-23 03:38:21
Document Index: 279753966

Matched Legal Cases: ['§\u2002801', '§\u2002803', '§\u2002812', '§\u2002804', '§\u2002804', '§\u2002805', '§\u2002804']

Volume 43 Issue 51
43 Pa.B. 7510
PA Bulletin, Doc. No. 13-2395
[43 Pa.B. 7510]
This notice announces the amount of the assessment that the Department of Public Welfare (Department) is implementing for Fiscal Year (FY) 2013-2014, provides an explanation of the assessment methodology that the Department is using in FY 2013-2014 and identifies the estimated aggregate impact on nursing facilities which will be subject to the assessment.
Article VIII-A of the Public Welfare Code (code) (62 P. S. §§ 801-A—815-A) authorizes the Department to impose an annual monetary assessment on nursing facilities and county nursing facilities in this Commonwealth each fiscal year through FY 2015-2016. Under Article VIII-A of the code, the Department may impose the assessment only to the extent that the assessment revenues qualify as the State share of Medical Assistance (MA) Program expenditures eligible for Federal financial participation (FFP). See 62 P. S. § 803-A. To ensure receipt of FFP, Article VIII-A of the code requires the Department to seek a waiver from the Federal Centers for Medicare and Medicaid Services if necessary to implement the Assessment Program. See 62 P. S. § 812-A.
For each fiscal year that the Assessment Program is implemented, the code authorizes the Secretary of the Department (Secretary) to determine the aggregate amount of the assessment and the annual assessment rate in consultation with the Secretary of the Budget. See 62 P. S. § 804-A. The act specifies that annual assessment rates must be sufficient to generate at least $50 million in additional revenue, but not more than the maximum aggregate assessment amount that qualifies for Federal matching funds. See 62 P. S. § 804-A.
After consideration of any comments received during the 30-day comment period, the Secretary must publish a second notice announcing the rate of assessment for the fiscal year. See 62 P. S. § 805-A. The annual aggregate assessment amount and assessment rate for the fiscal year must be approved by the Governor. See 62 P. S. § 804-A.
The Secretary published a notice at 43 Pa.B. 3582 (June 29, 2013) announcing the proposed assessment rates, the aggregate amount and the impact for FY 2013-2014. No comments were received by the Department in response to the proposed rates notice.
Assessment Methodology and Rates for FY 2013-2014
The following nursing facilities will continue to be exempt from the Assessment Program in FY 2013-2014:
The Department will assess nonexempt nursing facilities at two rates. One rate will apply to three categories of nursing facilities: county nursing facilities; nursing facilities that have 50 or fewer licensed beds; and certain Continuing Care Retirement Community (CCRC) nursing facilities. See 40 Pa.B. 7297 (December 18, 2010). The other rate will apply to all other nonexempt facilities, including nursing facilities that began participation in a Continuing Care Retirement Community (CCRC) on or after July 1, 2010. Using the applicable rate, the Department will calculate each nonexempt facility's quarterly assessment amount by multiplying its assessment rate by the facility's non-Medicare resident days during the calendar quarter that immediately preceded the assessment quarter. This rate structure is the same structure that was used in FY 2012-2013.
Although the Department will maintain the same basic rate structure for FY 2013-2014, the Department is increasing the assessment rates for nonexempt nursing facilities from the rates in FY 2012-2013. For FY 2013-2014, the assessment rates for nonexempt nursing facilities will be as follows:
(1) For county nursing facilities, for nursing facilities that have 50 or fewer licensed beds and for qualified CCRC nursing facilities, the assessment rate will be $8.32 per non-Medicare resident day.
(2) For all other nonexempt nursing facilities, the assessment rate will be $29.77 per non-Medicare resident day.
The Department estimates that the annual aggregate assessment fees for nonexempt nursing facilities will total $472.469 million. The Department will use the State revenue derived from the assessment fees and any associated Federal matching funds to support payments to qualified MA nursing facility providers in accordance with applicable laws and regulations.
Interested persons are invited to submit written comments regarding the contents of this notice to the Department of Public Welfare, Office of Long-Term Living, Bureau of Policy and Regulatory Management, Attention: Marilyn Yocum, P. O. Box 8025, Harrisburg, PA 17105-8025. Comments received within 30 days will be reviewed and considered for any subsequent revision of the notice.
Fiscal Note: 14-NOT-848. No fiscal impact; (8) recommends adoption.
[Pa.B. Doc. No. 13-2395. Filed for public inspection December 20, 2013, 9:00 a.m.]