SECOND REGULAR SESSION

SENATE BILL NO. 1240

91ST GENERAL ASSEMBLY


INTRODUCED BY SENATOR STEELMAN.

Read 1st time February 28, 2002, and 1,000 copies ordered printed.



TERRY L. SPIELER, Secretary.

4951S.01I


AN ACT

To amend chapter 208, RSMo, by adding thereto one new section relating to reimbursement of nursing homes, with an effective date.


Be it enacted by the General Assembly of the State of Missouri, as follows:

Section A. Chapter 208, RSMo, is amended by adding thereto one new section, to be known as section 208.225, to read as follows:

208.225. To implement fully the provisions of section 208.152, RSMo, the division of medical services shall recalculate annually the Medicaid per diem reimbursement rates of each nursing home participating in the Medicaid program as a provider of nursing home services based on its costs reported in the Title XIX cost report filed with the division of medical services for its fiscal year preceding the two facility fiscal years preceding the effective date of the recalculated rates, provided however:

(1) The recalculated Medicaid per diem reimbursement rate of a nursing home shall not be reduced below the rate allowed on the effective date of the initial recalculation for that nursing home pursuant to this section for the first three years following initial recalculation; and

(2) The recalculated Medicaid per diem reimbursement rate of a nursing home shall not be less than ninety dollars per day; and

(3) The division of medical services, when recalculating the Medicaid per diem reimbursement rate of any facility, shall not apply to that calculation a minimum utilization adjustment greater than the most current statewide average occupancy of all licensed nursing homes minus three percent.

Section B. The provisions of this act shall take effect July 1, 2002, with recalculated rates effective for periods of service beginning on January 1, 2003.






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