Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES › Chapter 45 - RATES FOR NURSING FACILITY SERVICES › Section 471-45-002 - DEFINITIONS

Current through June 17, 2024
The following definitions apply:
002.01
ALLOWABLE
  COST.
Those facility costs which are included in the computation
  of the facility's Per Diem. The facility's reported costs may be reduced
  because they are not allowable under Medicaid or Medicare regulation, or
  because they are limited under 471 Nebraska Administrative Code (NAC)
  45-006.
002.02
ASSISTED
  LIVING RATES.
Standard rates, single occupancy, rural or urban,
  per day equivalent, paid under the Home and Community-Based Waiver Services for
  Aged Persons or Adults or Children with Disabilities.
002.03
DEPARTMENT.
As defined in Neb. Rev. Stat. §
									68-907.
002.04
DIVISION.
The
  Division of Medicaid and Long-Term Care.
002.05
FAIR MARKET
  VALUE.
The price that the asset would bring by bona fide
  bargaining between well-informed buyers and sellers at the date of
  acquisition.
002.06
INDIAN HEALTH SERVICES NURSING FACILITY PROVIDER.
An
  Indian Health Services nursing facility or a tribal nursing facility designated
  as an Indian Health Services provider and funded by the Title I or ill of the
  Indian Self-Determination and Education Assistance Act, Public Law
  93-638.
002.07
LEVEL OF
  CARE.
The classification of each resident based on his or her
  acuity level.
002.08
MEDIAN.
A value or an average of two values in an
  ordered set of values, below and above which there is an equal number of
  values.
002.09
NURSING
  FACILITY.
An institution, or a distinct part of an institution,
  which meets the definition and requirements of Title XIX of the Social Security
  Act, Section 1919.
002.10
RATE DETERMINATION.
Per Diem rates calculated under
  provisions of this chapter. These rates may differ from rates actually paid for
  nursing facility services for Levels of Care 201 and 202.
002.11
RATE PAYMENT.
Per Diem rates paid under provisions of 471 NAC 45. The payment rate for Levels
  of Care 201 and 202 is the applicable rate in effect for assisted living
  services under the Home and Community-Based Waiver Services for Aged Persons or
  Adults or Children with Disabilities adjusted to include the Nursing Facility
  Quality Assessment Component and the Quality Measures Component.
002.12
REVISIT FEES.
Fees charged to health care facilities by the Secretary of Health and Human
  Services to cover the costs incurred under Centers for Medicare & Medicaid
  Services for conducting revisit surveys on health care facilities cited for
  deficiencies during initial certification, recertification, or substantiated
  complaint surveys.
002.13
STRAIGHT-LINE METHOD.
A depreciation method in which
  the cost or other basis of the asset, less its estimated salvage value, if any,
  is determined and the balance of the cost is distributed in equal amounts over
  the assigned useful life of the asset class.
002.14
URBAN.
Douglas, Lancaster, Sarpy, and Washington Counties. Rural means all other
  Nebraska counties.
002.15
WAIVERED FACILITY.
Facilities for which the State
  Certification Agency has waived professional nurse staffing requirements of
  omnibus budget reconciliation act of 1987 are classified as waivered if the
  total number of waivered days exceeds 90 calendar days at any time during the
  reporting period.
002.16
WEIGHTED RESIDENT DAYS.
A facility's inpatient days,
  as adjusted for the acuity level of the residents in that facility.