reglab/housing_qa huggingface dataset:
MN Stat § 256R.11 (2021)
2021 Minnesota Statutes|Chapters 245 - 267 — Public Welfare And Related Activities|Chapter 256R — Nursing Facility Rates|Section 256R.11 — Nonallowed Costs.

256R.11 NONALLOWED COSTS. Subdivision 1. Generally. (a) The following costs shall not be recognized as allowable: (1) political contributions; (2) salaries or expenses of a lobbyist, as defined in section 10A.01, subdivision 21, for lobbying activities; (3) advertising designed to encourage potential residents to select a particular nursing facility; (4) assessments levied by the commissioner of health for uncorrected violations; (5) legal and related expenses for unsuccessful challenges to decisions by governmental agencies; (6) memberships in sports, health or similar social clubs or organizations; (7) costs incurred for activities directly related to influencing employees with respect to unionization; and (8) costs of providing services which are billed separately from the nursing facility's payment rate or pursuant to Minnesota Rules, parts 9505.0170 to 9505.0475. (b) The commissioner shall by rule exclude the costs of any other items not directly related to the provision of resident care. Subd. 2. Collective bargaining. Costs incurred for any activities which are directed at or are intended to influence or dissuade employees in the exercise of their legal rights to freely engage in the process of selecting an exclusive representative for the purpose of collective bargaining with their employer shall not be allowable for purposes of setting payment rates. History:  2016 c 99 art 1 s 11; 2016 c 158 art 1 s 123
MN Stat § 256R.16 (2021)
2021 Minnesota Statutes|Chapters 245 - 267 — Public Welfare And Related Activities|Chapter 256R — Nursing Facility Rates|Section 256R.16 — Quality Of Care.

256R.16 QUALITY OF CARE. Subdivision 1. Calculation of a quality score. (a) The commissioner shall determine a quality score for each nursing facility using quality measures established in section 256B.439, according to methods determined by the commissioner in consultation with stakeholders and experts, and using the most recently available data as provided in the Minnesota Nursing Home Report Card. These methods shall be exempt from the rulemaking requirements under chapter 14. (b) For each quality measure, a score shall be determined with the number of points assigned as determined by the commissioner using the methodology established according to this subdivision. The determination of the quality measures to be used and the methods of calculating scores may be revised annually by the commissioner. (c) The quality score shall include up to 50 points related to the Minnesota quality indicators score derived from the minimum data set, up to 40 points related to the resident quality of life score derived from the consumer survey conducted under section 256B.439, subdivision 3, and up to ten points related to the state inspection results score. (d) The commissioner, in cooperation with the commissioner of health, may adjust the formula in paragraph (c), or the methodology for computing the total quality score, effective July 1 of any year, with five months advance public notice. In changing the formula, the commissioner shall consider quality measure priorities registered by report card users, advice of stakeholders, and available research. Subd. 2. Monitoring quality of care. If an annual cost report or field audit indicates that expenditures for direct resident care have been reduced in amounts large enough to indicate a possible detrimental effect on the quality of care, the commissioner shall notify the commissioner of health. History:   2016 c 99 art 1 s 14
MN Stat § 256R.17 (2021)
2021 Minnesota Statutes|Chapters 245 - 267 — Public Welfare And Related Activities|Chapter 256R — Nursing Facility Rates|Section 256R.17 — Case Mix.

256R.17 CASE MIX. Subdivision 1. Case mix classifications. The case mix classifications shall be those established under section 144.0724. Subd. 2. Case mix indices. (a) The commissioner shall assign a case mix index to each case mix classification based on the Centers for Medicare and Medicaid Services staff time measurement study. (b) An index maximization approach shall be used to classify residents. "Index maximization" has the meaning given in section 144.0724, subdivision 2, paragraph (c). Subd. 3. Resident assessment schedule. (a) Nursing facilities shall conduct and submit case mix classification assessments according to the schedule established by the commissioner of health under section 144.0724, subdivisions 4 and 5. (b) The case mix classifications established under section 144.0724, subdivision 3a, shall be effective the day of admission for new admission assessments. The effective date for significant change assessments shall be the assessment reference date. The effective date for annual and quarterly assessments shall be the first day of the month following assessment reference date. Subd. 4. Notice of resident reimbursement case mix classification. Nursing facilities shall provide notice to a resident of the resident's case mix classification according to procedures established by the commissioner of health under section 144.0724, subdivision 7. Subd. 5. Reconsideration of resident case mix classification. Any request for reconsideration of a resident case mix classification must be made under section 144.0724, subdivision 8. History:  2016 c 99 art 1 s 15; 2016 c 158 art 1 s 122
MN Stat § 256R.18 (2021)
2021 Minnesota Statutes|Chapters 245 - 267 — Public Welfare And Related Activities|Chapter 256R — Nursing Facility Rates|Section 256R.18 — Report By Commissioner Of Human Services.

256R.18 REPORT BY COMMISSIONER OF HUMAN SERVICES. Beginning January 1, 2019, the commissioner shall provide to the house of representatives and senate committees with jurisdiction over nursing facility payment rates a biennial report on the effectiveness of the reimbursement system in improving quality, restraining costs, and any other features of the system as determined by the commissioner. History:   1Sp2017 c 6 art 3 s 40
MN Stat § 256R.21 (2021)
2021 Minnesota Statutes|Chapters 245 - 267 — Public Welfare And Related Activities|Chapter 256R — Nursing Facility Rates|Section 256R.21 — Total Payment Rate.

256R.21 TOTAL PAYMENT RATE. Subdivision 1. Total payment rates. For each facility, the commissioner shall calculate a total payment rate using the statistical and cost report filed by each nursing facility for the reporting period ending 15 months prior to the rate year. The total payment rates are the total payment rates in effect on the first day of the rate year, unless another date is specified. Subd. 2. Determination of total care-related payment rates. A facility's total care-related payment rate is the sum of: (1) its direct care payment rate as determined in section 256R.23, subdivision 7; and (2) its other care-related payment rate as determined in section 256R.23, subdivision 8. A facility's total care-related payment rate is its total care-related payment rate associated with a case mix index of 1.00. Subd. 3. Determination of operating payment rates. A facility's operating payment rate is the sum of: (1) its total care-related payment rate as determined in subdivision 2; and (2) its other operating payment rate as determined in section 256R.24. A facility's operating payment rate is its operating payment rate associated with a case mix index of 1.00. Subd. 4. Determination of total payment rates. A facility's total payment rate is the sum of: (1) its operating payment rate as determined in subdivision 3; (2) its external fixed costs payment rate as determined in section 256R.25; and (3) its property payment rate as determined in section 256R.26. A facility's total payment rate is its total payment rate associated with a case mix index of 1.00. Subd. 5. Total payment rate for new facilities. For a new nursing facility created under section 144A.071, subdivisions 2 and 3, the total payment rate must be determined according to section 256R.27. History:  2016 c 99 art 1 s 16; 1Sp2019 c 9 art 4 s 17
MN Stat § 256R.22 (2021)
2021 Minnesota Statutes|Chapters 245 - 267 — Public Welfare And Related Activities|Chapter 256R — Nursing Facility Rates|Section 256R.22 — Case Mix Adjusted Total Payment Rate.

256R.22 CASE MIX ADJUSTED TOTAL PAYMENT RATE. Subdivision 1. Case mix adjusted payment rates generally. For each facility, the commissioner shall calculate case mix adjusted payment rates for each case mix classification. Subd. 2. Determination of case mix adjusted total care-related payment rates. A facility's case mix adjusted total care-related payment rate for each case mix classification is the sum of: (1) its direct care payment rate as determined in section 256R.23, subdivision 7, multiplied by the case mix index; and (2) its other care-related payment rate as determined in section 256R.23, subdivision 8. Subd. 3. Determination of case mix adjusted operating payment rates. A facility's case mix adjusted operating payment rate for each case mix classification is the sum of: (1) its case mix adjusted total care-related payment rate as determined in subdivision 2; and (2) its other operating payment rate as determined in section 256R.24. Subd. 4. Determination of case mix adjusted total payment rates. A facility's case mix adjusted total payment rate for each case mix classification is the sum of: (1) its case mix adjusted operating payment rate as determined in subdivision 3; (2) its external fixed costs payment rate as determined in section 256R.25; and (3) its property payment rate as determined in section 256R.26. History:   2016 c 99 art 1 s 17
MN Stat § 256R.23 (2021)
2021 Minnesota Statutes|Chapters 245 - 267 — Public Welfare And Related Activities|Chapter 256R — Nursing Facility Rates|Section 256R.23 — Total Care-related Payment Rates.

256R.23 TOTAL CARE-RELATED PAYMENT RATES. Subdivision 1. Determination of total care-related cost per day. Each facility's total care-related cost per day is the sum of its direct care cost per standardized day and its other care-related cost per resident day. Subd. 2. Calculation of direct care cost per standardized day. Each facility's direct care cost per standardized day is the facility's direct care costs divided by the sum of the facility's standardized days. A facility's direct care cost per standardized day is the facility's cost per day for direct care services associated with a case mix index of 1.00. Subd. 3. Calculation of other care-related cost per resident day. Each facility's other care-related cost per resident day is its other care-related costs, divided by the sum of the facility's resident days. Subd. 4. Determination of the median total care-related cost per day. The commissioner must determine the median total care-related cost per day using the cost reports from nursing facilities in Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, and Washington Counties. Subd. 5. Determination of total care-related payment rate limits. The commissioner must determine each facility's total care-related payment rate limit by: (1) multiplying the facility's quality score, as determined under section 256R.16, subdivision 1, by 0.5625; (2) adding 89.375 to the amount determined in clause (1), and dividing the total by 100; and (3) multiplying the amount determined in clause (2) by the median total care-related cost per day. Subd. 6. Payment rate limit reduction. No facility shall be subject in any rate year to a care-related payment rate limit reduction greater than five percent of the median determined in subdivision 4. Subd. 7. Determination of direct care payment rates. A facility's direct care payment rate equals the lesser of (1) the facility's direct care costs per standardized day, or (2) the facility's direct care costs per standardized day divided by its cost to limit ratio. Subd. 8. Determination of other care-related payment rates. A facility's other care-related payment rate equals the lesser of (1) the facility's other care-related cost per resident day, or (2) the facility's other care-related cost per resident day divided by its cost to limit ratio. Subd. 9. Determination of total care-related payment rates. A facility's total care-related payment rate is the sum of its direct care payment rate as determined in subdivision 7 and its other care-related payment rate as determined in subdivision 8. History:   2016 c 99 art 1 s 18
MN Stat § 256R.24 (2021)
2021 Minnesota Statutes|Chapters 245 - 267 — Public Welfare And Related Activities|Chapter 256R — Nursing Facility Rates|Section 256R.24 — Other Operating Payment Rate.

256R.24 OTHER OPERATING PAYMENT RATE. Subdivision 1. Determination of other operating cost per day. Each facility's other operating cost per day is its other operating costs divided by the sum of the facility's resident days. Subd. 2. Determination of the median other operating cost per day. The commissioner must determine the median other operating cost per day using the cost reports from nursing facilities in Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, and Washington Counties. Subd. 3. Determination of the other operating payment rate. A facility's other operating payment rate equals 105 percent of the median other operating cost per day. History:   2016 c 99 art 1 s 19
MN Stat § 256R.25 (2021)
2021 Minnesota Statutes|Chapters 245 - 267 — Public Welfare And Related Activities|Chapter 256R — Nursing Facility Rates|Section 256R.25 — External Fixed Costs Payment Rate.

256R.25 EXTERNAL FIXED COSTS PAYMENT RATE. (a) The payment rate for external fixed costs is the sum of the amounts in paragraphs (b) to (o). (b) For a facility licensed as a nursing home, the portion related to the provider surcharge under section 256.9657 is equal to $8.86 per resident day. For a facility licensed as both a nursing home and a boarding care home, the portion related to the provider surcharge under section 256.9657 is equal to $8.86 per resident day multiplied by the result of its number of nursing home beds divided by its total number of licensed beds. (c) The portion related to the licensure fee under section 144.122, paragraph (d), is the amount of the fee divided by the sum of the facility's resident days. (d) The portion related to development and education of resident and family advisory councils under section 144A.33 is $5 per resident day divided by 365. (e) The portion related to scholarships is determined under section 256R.37. (f) The portion related to planned closure rate adjustments is as determined under section 256R.40, subdivision 5, and Minnesota Statutes 2010, section 256B.436. (g) The portion related to consolidation rate adjustments shall be as determined under section 144A.071, subdivisions 4c, paragraph (a), clauses (5) and (6), and 4d. (h) The portion related to single-bed room incentives is as determined under section 256R.41. (i) The portions related to real estate taxes, special assessments, and payments made in lieu of real estate taxes directly identified or allocated to the nursing facility are the allowable amounts divided by the sum of the facility's resident days. Allowable costs under this paragraph for payments made by a nonprofit nursing facility that are in lieu of real estate taxes shall not exceed the amount which the nursing facility would have paid to a city or township and county for fire, police, sanitation services, and road maintenance costs had real estate taxes been levied on that property for those purposes. (j) The portion related to employer health insurance costs is the allowable costs divided by the sum of the facility's resident days. (k) The portion related to the Public Employees Retirement Association is the allowable costs divided by the sum of the facility's resident days. (l) The portion related to quality improvement incentive payment rate adjustments is the amount determined under section 256R.39. (m) The portion related to performance-based incentive payments is the amount determined under section 256R.38. (n) The portion related to special dietary needs is the amount determined under section 256R.51. (o) The portion related to the rate adjustments for border city facilities is the amount determined under section 256R.481. History:  2016 c 99 art 1 s 20,42; 2016 c 140 s 4; 1Sp2019 c 9 art 4 s 18
MN Stat § 256R.267 (2021)
2021 Minnesota Statutes|Chapters 245 - 267 — Public Welfare And Related Activities|Chapter 256R — Nursing Facility Rates|Section 256R.267 — Threshold Project Property Payment Rate Interim Adjustments.

256R.267 THRESHOLD PROJECT PROPERTY PAYMENT RATE INTERIM ADJUSTMENTS. (a) A facility reimbursed under section 256R.26, subdivisions 1 to 8, may receive a property payment rate interim adjustment for threshold projects the cumulative cost of which during the three years between physical appraisals is between the following threshold project cost limits: (1) the lesser of $316,816 or $10,000 per bed in service; and (2) the greater of $1,620,943 or $20,000 per bed in service. The commissioner shall update the threshold project cost limits each January 1 by the annual percent change in the construction cost per square foot value based on the information that is publicly available on November 1 immediately preceding the rate year. (b) A facility seeking a property payment rate interim adjustment must request an adjustment after the threshold project is completed. The nursing facility or the lease holder must have incurred the threshold project cost subsequent to the facility's last physical appraisal. The nursing facility must submit to the commissioner all building and fixed equipment cost data related to the project within 90 days of completing the project. (c) Effective January 1 or July 1, whichever occurs first after a facility completes a threshold project and requests the property payment rate interim adjustment, the commissioner shall add the allowable reported threshold project costs to the facility's URC under section 256R.26, subdivision 1, and to the DRC under section 256R.26, subdivision 3, before calculating an adjusted property payment rate under section 256R.26. The commissioner shall not include in the facility's limited URC threshold project costs reported to the commissioner between physical appraisals that exceed the maximum cumulative project cost limits described in paragraph (a). (d) In subsequent property payment rate calculations following the completion of a physical appraisal, the commissioner shall eliminate any interim adjustment to the DRC and URC under paragraph (c). (e) At the option of the commissioner, the commissioner may adjust the appraisal schedule for a nursing facility that has completed a threshold project. (f) If more or less than three years pass between a facility's physical appraisals, the commissioner shall prorate the facility's threshold project cost limits accordingly. (g) After the initial rate year project adjustments are allowed once annually based on the previous project completion date. (h) Two threshold projects may not be conducted at the same time. Purchases for a second project must be made after the completion date of the first project. History:   1Sp2019 c 9 art 4 s 22
MN Stat § 256R.32 (2021)
2021 Minnesota Statutes|Chapters 245 - 267 — Public Welfare And Related Activities|Chapter 256R — Nursing Facility Rates|Section 256R.32 — Appeals.

256R.32 APPEALS. Nursing facilities may appeal, as described under section 256B.50, the determination of a payment rate established under this chapter. History:   2016 c 99 art 1 s 22
MN Stat § 256R.36 (2021)
2021 Minnesota Statutes|Chapters 245 - 267 — Public Welfare And Related Activities|Chapter 256R — Nursing Facility Rates|Section 256R.36 — Hold Harmless.

256R.36 HOLD HARMLESS. No nursing facility's operating payment rate, plus its employer health insurance costs portion of the external fixed costs payment rate, will be less than its prior system operating cost payment rate. History:   2016 c 99 art 1 s 23
MN Stat § 256R.37 (2021)
2021 Minnesota Statutes|Chapters 245 - 267 — Public Welfare And Related Activities|Chapter 256R — Nursing Facility Rates|Section 256R.37 — Scholarships.

256R.37 SCHOLARSHIPS. (a) For the 27-month period beginning October 1, 2015, through December 31, 2017, the commissioner shall allow a scholarship per diem of up to 25 cents for each nursing facility with no scholarship per diem that is requesting a scholarship per diem to be added to the external fixed payment rate to be used: (1) for employee scholarships that satisfy the following requirements: (i) scholarships are available to all employees who work an average of at least ten hours per week at the facility except the administrator, and to reimburse student loan expenses for newly hired registered nurses and licensed practical nurses, and training expenses for nursing assistants as specified in section 144A.611, subdivisions 2 and 4, who are newly hired; and (ii) the course of study is expected to lead to career advancement with the facility or in long-term care, including medical care interpreter services and social work; and (2) to provide job-related training in English as a second language. (b) All facilities may annually request a rate adjustment under this section by submitting information to the commissioner on a schedule and in a form supplied by the commissioner. The commissioner shall allow a scholarship payment rate equal to the reported and allowable costs divided by resident days. (c) In calculating the per diem under paragraph (b), the commissioner shall allow costs related to tuition, direct educational expenses, and reasonable costs as defined by the commissioner for child care costs and transportation expenses related to direct educational expenses. (d) The rate increase under this section is an optional rate add-on that the facility must request from the commissioner in a manner prescribed by the commissioner. The rate increase must be used for scholarships as specified in this section. (e) For instances in which a rate adjustment will be 15 cents or greater, nursing facilities that close beds during a rate year may request to have their scholarship adjustment under paragraph (b) recalculated by the commissioner for the remainder of the rate year to reflect the reduction in resident days compared to the cost report year. History:  2016 c 99 art 1 s 24,42; 2016 c 189 art 18 s 8; 1Sp2017 c 6 art 3 s 41
MN Stat § 256R.38 (2021)
2021 Minnesota Statutes|Chapters 245 - 267 — Public Welfare And Related Activities|Chapter 256R — Nursing Facility Rates|Section 256R.38 — Performance-based Incentive Payments.

256R.38 PERFORMANCE-BASED INCENTIVE PAYMENTS. The commissioner shall develop additional incentive-based payments of up to five percent above a facility's operating payment rate for achieving outcomes specified in a contract. The commissioner may solicit proposals and select those which, on a competitive basis, best meet the state's policy objectives. The commissioner shall limit the amount of any incentive payment and the number of contract amendments under this section to operate the incentive payments within funds appropriated for this purpose. The commissioner shall approve proposals through a memorandum of understanding which shall specify various levels of payment for various levels of performance. Incentive payments to facilities under this section shall be in the form of time-limited rate adjustments which shall be included in the external fixed payment rate under section 256R.25. In establishing the specified outcomes and related criteria, the commissioner shall consider the following state policy objectives: (1) successful diversion or discharge of residents to the residents' prior home or other community-based alternatives; (2) adoption of new technology to improve quality or efficiency; (3) improved quality as measured in the Minnesota Nursing Home Report Card; (4) reduced acute care costs; and (5) any additional outcomes proposed by a nursing facility that the commissioner finds desirable. History:   2016 c 99 art 1 s 25