Virginia Administrative Code › Title 12 - HEALTH › Agency 30 - DEPARTMENT OF MEDICAL ASSISTANCE SERVICES › Chapter 90 - METHODS AND STANDARDS FOR ESTABLISHING PAYMENT RATES FOR LONG-TERM CARE › Part III - Nursing Home Payment System Appendices › Appendix I - Uniform Expense Classification › Section 12VAC30-90-272 - Indirect patient care operating costs

Current through Register Vol. 40, No. 24, July 15, 2024
A. Administrative and general.
1. Administrator/owner assistant
					 administrator. Compensation of individuals responsible for administering the
					 operations of the nursing facility. (See
					 12VAC30-90-50 and Appendix III
					 (12VAC30-90-290 ) for
					 limitations.)
2. Other
					 administrative and fiscal services. Gross salaries of all personnel in
					 administrative, personnel, fiscal, billing and admitting, communications and
					 purchasing departments.
3.
					 Management fees. Cost of fees for providing necessary management services
					 related to nursing facility operations. (See Appendix III (12VAC30-90-290 ) for
					 limitations.)
4. Professional fees
					 -- accounting. Fees paid to independent outside auditors and
					 accountants.
5. Professional fees
					 -- legal. Fees paid to attorneys. (See Appendix III (12VAC30-90-290 ) for
					 limitations.)
6. Professional fees
					 -- other. Fees, other than accounting or legal, for professional services
					 related to nursing facility patient care.
7. Director's fees. Fees paid for attendance
					 at scheduled meetings which serve as reimbursement for time, travel, and
					 services provided. (See Appendix III (12VAC30-90-290 ) for
					 limitations.)
8. Membership fees.
					 Fees related to membership in health care organizations which promote
					 objectives in the providers' field of health care activities. (See Appendix III
					 (12VAC30-90-290 ) for
					 limitations.)
9. Advertising
					 (classified). Cost of advertising to recruit new employees and yellow pages
					 advertising.
10. Public relations.
					 Cost of promotional expenses including brochures and other informational
					 documents regarding the nursing facility.
11. Telephone. Cost of telephone service used
					 by employees of the nursing facility.
12. Subscriptions. Cost of subscribing to
					 newspapers, magazines, and periodicals.
13. Office supplies. Cost of supplies used in
					 administrative departments (e.g., pencils, papers, erasers, staples).
14. Minor furniture and equipment. Cost of
					 furniture and equipment which does not qualify as a capital asset.
15. Printing and postage. Cost of reproducing
					 documents which are reasonable, necessary and related to nursing facility
					 patient care and cost of postage and freight charges.
16. Travel. Cost of travel (airfare, auto
					 mileage, lodging, meals, etc. by administrator or other authorized personnel on
					 official nursing facility business). (See
					 12VAC30-90-290 for
					 limitations.)
17. Auto. All costs
					 of maintaining nursing facility vehicles, including gas, oil, tires, licenses,
					 maintenance of such vehicles.
18.
					 License fees. Fees for licenses, including state, county, and local business
					 licenses, and VHSCRC filing fees.
19. Liability insurance. Cost of insuring the
					 facility against liability claims, including malpractice.
20. Interest. Other than mortgage and
					 equipment.
21.
					 Amortization/start-up costs. Amortization of allowable Start-Up Costs (See
					 12VAC30-90-220 ).
22. Amortization/organizational costs.
					 Amortization of allowable organization costs (See
					 12VAC30-90-220 ).