Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL) › Chapter III - Allowances for Services › Section 144-101-III-67 - Principles of Reimbursement for Nursing Facilities › Subsection 144-101-III-67-17 - ROUTINE COST COMPONENT

Current through 2024-29, July 17, 2024
All allowable costs not specified for inclusion in
						another cost category pursuant to these rules shall be included in the routine
						cost component subject to the limitations set forth in these Principles.
The base year costs for the routine cost component shall
						be the base year routine costs defined in Principle 1.4 for these costs listed
						in Principle 17, except for facilities whose MaineCare rates are based on pro
						forma cost reports in accordance with Principles 22.5 and 22.6. The routine
						cost component is determined by adjusting routine costs pursuant to Principles
						22.4.
17.1
Principle
. All
					 expenses which providers must incur to meet state licensing and federal
					 certification standards are allowable.
17.2
Inventory Items
. All
					 inventory items used in the provision of routine services to residents are
					 required to be expensed in the year used. Inventory items shall include, but
					 are not limited to: linen and disposable items.
17.3
Allowable Costs
. Allowable
					 costs shall also include all items of expense efficient and economical
					 providers incur for the provision of routine services. Routine services mean
					 the regular room, dietary services, and the use of equipment and
					 facilities.
17.4
Allowable
					 costs for the routine component of the rate.
17.4.1 The rate shall include but not be
					 limited to costs reported in the following functional cost centers on the
					 facility's cost report.
(a) fiscal
					 services
(b) administrative
					 services and professional fees, including administrative functions,
(c) plant operation and maintenance including
					 utilities,
(d) laundry and
					 linen,
(e) housekeeping,
(f) medical records,
(g) subscriptions related to resident
					 care,
(h) dietary,
(i) motor vehicle operating
					 expenses,
(j) clerical,
(k) transportation, (excluding
					 depreciation),
(l) office
					 supplies/telephone,
(m) conventions
					 and meetings within the state of Maine,
(n) EDP bookkeeping/payroll,
(o) fringe benefits, to include:
(1) payroll taxes,
(2) qualified retirement plan
					 contributions,
(3) group health,
					 dental, and life insurance,
*(4)
					 health savings accounts,
*(5)
					 flexible spending accounts, and
(6)
					 cafeteria plans.
(p)
					 payroll taxes,
(q) one (1)
					 association dues, the portion of which is not related to lobbying,
(r) food, vitamins and food
					 supplements,
(s) director of
					 nursing, and fringe benefits,
(t)
					 social services, and fringe benefits,
(u) pharmacy consultant and dietary
					 consultant, and medical director,
*(v) background checks, and
*(w) software costs and licensing fees.
*The Department shall submit to CMS and anticipates
						approval for a State Plan Amendment related to these provisions.
For a more complete description of allowable costs in
						each cost center, see the explanations in Principles 17.4.1 -
						17.4.2.11.