Ohio Administrative Code › Title 5123 - Department of Developmental Disabilities › Chapter 5123-7 - Intermediate Care Facilities for Individuals with Intellectual Disabilities › Section 5123-7-23 - Intermediate care facilities for individuals with intellectual disabilities - method for establishing the other protected costs component of the prospective rate

Current through all regulations passed and filed through July 1, 2024
(A)
								Purpose
This rule sets forth the method for
				establishing the other protected costs component of the prospective rate paid
				to an intermediate care facility for individuals with intellectual disabilities
				(ICFIID).
(B)
								Calculation of per diem rate
Each eligible ICFIID shall be paid a
				per diem for each resident for other protected costs. This component of the
				rate will be established prospectively each fiscal year. This per diem shall be
				calculated by dividing the desk-reviewed, actual, allowable other protected
				costs total except for the franchise permit fee (account number 6091) by the
				inpatient days. This information will come from the year-end cost report
				preceding the fiscal year in which the rate will be paid. This per diem will
				then be inflated by the estimated inflation rate as calculated in accordance
				with paragraph (C) of this rule and added to the per diem for the franchise
				permit fee as calculated in accordance with paragraph (D) of this rule to
				determine the total other protected costs component of the prospective
				rate.
(C)
								Estimated inflation rate
The department shall estimate the rate
				of inflation for the eighteen-month period using the consumer price index for
				all urban consumers for nonprescription drugs and the consumer price index for
				all urban consumers for medical supplies, as published by the United States
				bureau of labor statistics. The estimated inflation rate is calculated by
				taking the value of the indexes as of the thirty-first day of December in the
				fiscal year the rate will be paid, divided by the value of the indexes as of
				the first day of July in the immediately preceding calendar year. If the
				estimated inflation rate for the eighteen-month period is different from the
				actual inflation rate for that period, the difference shall be added to or
				subtracted from the inflation rate estimated for the following fiscal
				year.
(D)
								Franchise permit fee
Notwithstanding the method for
				reimbursement for other protected costs as set forth in rule
				5123-7-12
				of the Administrative Code, the franchise permit fee rate in the amount equal
				to the assessment specified in section
				5168.61 of the Revised Code will
				be included in the other protected costs center per diem rate for each ICFIID
				subject to the franchise permit fee assessment as specified in section
				5168.61 of the Revised Code. The
				ICFIID will not receive reimbursement for the franchise permit fee if there is
				no assessment. The franchise permit fee rate is not subject to the inflation
				factor that is allowed for costs reported in the other protected costs center
				in accordance with paragraph (C) of this rule.
Replaces: 5123:2-7-23