Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0037 - Medicaid › Chapter 7 - WYOMING NURSING HOME REIMBURSEMENT SYSTEM › Section 7-18 - Determination of Property Rental Rate Price

Current through July 13, 2024
(a) Property Rental Rate. Nursing facilities
				will be paid a price-based per diem rate based on the age of each provider's
				building. The property rental rate is paid in lieu of reimbursement for capital
				costs defined at Section
				9(c). The property rental
				rate does not reimburse for property taxes and property insurance. Property
				taxes and property insurance will be reimbursed as an exempt cost as defined at
				Section 9(d).
(b) The property rental rates for each
				building age were calculated in 2015. 2015 will serve as the base year for each
				provider's building age and rental rates effective July 1, 2015 through June
				30, 2016. Base year 2015 rental rate per diems by building age are shown in the
				table below.
Age
Rate
Age
Rate
Age
Rate
Age
Rate
0
15.55
11
14.20
22
12.85
33
11.50
1
15.43
12
14.08
23
12.73
34
11.38
2
15.30
13
13.95
24
12.60
35
11.25
3
15.18
14
13.83
25
12.48
36
11.13
4
15.06
15
13.71
26
12.36
37
11.01
5
14.94
16
13.59
27
12.24
38
10.89
6
14.81
17
13.46
28
12.11
39
10.76
7
14.69
18
13.34
29
11.99
40
10.64
8
14.57
19
13.22
30
11.87
40+
10.64
9
14.45
20
13.10
31
11.74
10
14.32
21
12.97
32
11.62
(c)
				The rates in the table above will be used for rate setting. Building ages will
				all increase by one (1) year every July 1, beginning on July 1, 2016,
				regardless of the original construction date.
(d) Annual Property Rental Rate Adjustment.
				Annually on July 1, subject to legislative funding, the prior year rates for
				each building age will be adjusted up or down by the percentage change
				published in the Marshall Swift index. The percentage change will be determined
				using the "Annual Cost Changes" published in the "Current Building Cost
				Indexes" section of the Marshall Swift Valuation service publication, or its
				successor. The Annual Cost Changes category used will be for the Western
				Region, Class D, Nursing Home (convalescent hospital) group. The most recent
				publication available at the time of rate setting will be used for the annual
				rate adjustment.
(e) Age of the
				building. Facilities that existed and participated in Medicaid as of March 2015
				were assigned a facility age as of 2015 based on the results of a capital cost
				survey that was held in 2013 and updated in 2015. The base year ages will not
				be adjusted due to lack of provider participation or cooperation in the
				survey.
(f) Buildings with an
				adjusted age greater than 40 years will be reimbursed as a 40-year old
				building.
(g) New providers that do
				not have an existing building age. The age of the building will be determined
				based on a request for documentation relating to the historical construction
				date, square footage, and costs of material capital additions.
(i) Adequate documentation will include, but
				not be limited to, such documents as copies of building permits, tax assessors'
				records, receipts, invoices, building contract, and original notes of
				indebtedness, total square feet, depreciation schedule, and any other document
				deemed necessary.
(ii) If adequate
				information is not submitted by the facility by thirty (30) days prior to the
				beginning of the next rate quarter to document that the facility, or portion
				thereof, is newer than forty (40) years, the age will be set at forty (40)
				years. If adequate documentation is provided later, and if it results in a
				revised age, the age will be reflected on the first day of the next rate
				quarter after the documentation is reviewed.