Pennsylvania Code › Title 55 - HUMAN SERVICES › Part III - MEDICAL ASSISTANCE MANUAL › Chapter 1181 - NURSING FACILITY CARE › Subchapter B - MANUAL FOR ALLOWABLE COST REIMBURSEMENT FOR SKILLED NURSING AND INTERMEDIATE CARE FACILITIES › SALARY COSTS AND STAFFING STANDARDS › Section 1181.241 - General administration salaries

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Salaries of the facility's administrator,
					 comptroller, purchasing agent, personnel director, pharmacy consultant and
					 other persons performing general supervision or management duties shall be
					 includable in the general administration allowance.
(b) Compensation of owners, officers or
					 persons other than facility employes means actual payment during the cost
					 reporting period on a current basis of salary or benefits for services rendered
					 to the facility.
(c) If a person
					 performs work customarily performed by different or several types of employes,
					 the cost of the salary and other compensation allowable for the person shall be
					 determined by the prorated customary salary and other compensation paid to
					 employes for performing the same types of work in accordance with the
					 methodology established in subsection (f). This cost will be allowable only if
					 adequate documentation verifying the cost is supplied by the facility. Adequate
					 documentation consists of a job description defining the responsibilities of
					 the person and time records documenting the allocation of the person's time for
					 the performance of each type of work on a daily basis. The cost of salary and
					 other compensation paid to the person for work performed shall be recorded as
					 general administration costs.
(d)
					 The salary or compensation costs of owners, operators or persons other than
					 facility employes may be included only to the extent of their documented time
					 and involvement in the required management of a facility.
(e) The allowable cost for a person
					 performing necessary duties may not exceed the customary compensation and
					 fringe benefits, as determined in accordance with the methodology established
					 in subsection (f) that an employe would normally receive while performing that
					 work.
(f) The cost of customary
					 compensation and fringe benefits for employes performing necessary duties in
					 general facilities, excluding hospital-based and special rehabilitation
					 facilities, will be based on an average of the cost of the compensation and
					 fringe benefits of employes performing the same work in enrolled general
					 facilities, excluding hospital-based and special rehabilitation facilities,
					 which are located in the county in which the facility is located and in
					 counties within this Commonwealth which are contiguous to that county. The cost
					 of customary compensation and fringe benefits for employes performing necessary
					 duties in hospital-based, special rehabilitation and county facilities will be
					 based upon separate Statewide averages of the cost of enrolled facilities of
					 each type for the compensation and fringe benefits of employes performing the
					 same work.
(g) The cost of general
					 administrative salaries and benefits are included within the 12% overall
					 maximum allowance, prorated between skilled nursing and intermediate care
					 units, for general administration costs.