Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 70 - MO HealthNet Division › Chapter 10 - Nursing Home Program › Section 13 CSR 70-10.120 - Reimbursement for Nurse Assistant Training

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the maximum allowable
				  reimbursement for nurse assistant training to one thousand five hundred dollars
				  ($1,500) per person and updates other outdated terms and
				  references.
(1) Definitions.
(A) "Nurse assistant training agency" is an
				agency which is approved by the Department of Health and Senior Services under
				19 CSR
				30-84.010(7).
(B) "Basic course" is the seventy-five (75)
				hours of classroom training, the one hundred (100) hours of on-the-job
				supervised training, and the final examination of the approved nurse assistant
				training course.
(C) "Challenge the
				final examination" means taking the final examination of the basic course
				without taking the entire basic course.
(D) "Cost report" is the Financial and
				Statistical Report for Nursing Facilities, required attachments, and all
				worksheets supplied by the division for this purpose per
				13 CSR
				70-10.015, effective January 1, 1995, through June 30,
				2022, and 13 CSR 70-10.020, effective
				beginning July 1, 2022. The cost report details the cost of rendering both
				covered and noncovered services for the fiscal reporting period in accordance
				with the procedures prescribed by the division, and on forms provided by and/or
				approved by the division.
(E)
				"Department of Health and Senior Services" is the department responsible for
				the survey, certification, and licensure as prescribed in Chapter 198,
				RSMo.
(F) "Desk audit" is the MO
				HealthNet Division or its authorized agent's audit of a provider's cost report
				without a field audit.
(G)
				"Division," unless otherwise specified, refers to the Department of Social
				Services, MO HealthNet Division that is charged with administration of MO
				HealthNet (Medicaid) Program.
(H)
				"Facility fiscal year" is a facility's twelve- (12-) month fiscal reporting
				period.
(I) "Field audit" is an
				on-site audit of the nursing facility's records performed by the department or
				its authorized agent.
(J) "Nursing
				facility (NF)" is, effective October 1, 1990, skilled nursing facilities,
				skilled nursing facilities/intermediate care facilities and intermediate care
				facilities as defined in Chapter 198, RSMo participating in the Medicaid
				Program will all be subject to the minimum federal requirements found in
				section 1919 of the Social Security Act.
(K) "Occupancy rate" is a facility's total
				actual patient days divided by the total bed days for the same period as
				determined from the desk audited and/or field audited cost report.
(L) "Patient day" is the period of service
				rendered to a patient between the census-taking hour on two (2) consecutive
				days. Census shall be taken in all facilities at midnight each day and a census
				log maintained in each facility for documentation purposes. Patient day
				includes the allowable temporary leave-of-absence days per
				13 CSR
				70-10.015(5)(D), effective January 1,
				1995, through June 30, 2022, and
				13 CSR
				70-10.020(5)(C), effective beginning
				July 1, 2022, and hospital leave days per 13 CSR 70-10.070. The day of
				discharge is not a patient day for reimbursement purposes unless it is also the
				day of admission.
(M) "Provider or
				facility" is a nursing facility with a valid Medicaid participation agreement
				with the Department of Social Services for the purpose of providing nursing
				facility services to Title XIX-eligible participants.