Cal. Code Regs. tit. 17 § 56911

Current through Register 2024 Notice Reg. No. 36, September 6, 2024
Section 56911 - Basic Living Needs
(a) The basic living needs (BLN) cost element represents the cost of meeting consumers' basic living needs, allocated pursuant to Section 56906, and shall include the following:
(1) Wages and fringe benefits of staff performing housekeeping duties;
(2) Housing;
(3) Furniture and equipment;
(4) Insurance;
(5) Utilities;
(6) Food;
(7) Housekeeping supplies and services;
(8) Clothing and personal care items which are not purchased with a resident's personal and incidental allowance; and
(9) Transportation.
(b) The following steps shall be completed by the Department to determine the proposed amount for BLN:
(1) For each CSF, calculate the total BLN costs as follows:
(A) To derive the BLN cost per occupant day, calculate the costs per day for subsections (a)(1) through (7) above using the following formula:

COST PER OCCUPANT DAY=Dollar amount per cost item
total number of occupant days

(B) To derive the BLN cost per resident day, calculate the costs per day for subsections (a)(8) and (9) above using the following formula:

COST PER RESIDENT DAY=Dollar amount per cost item
total number of resident days enrolled

(C) Add subsections (A) and (B) above to arrive at total BLN costs.
(2) Using generally accepted statistical techniques:
(A) Analyze the total BLN cost for all CSFs to determine if there are any significant differences by:
1. Service Levels 2, 3 and 4;
2. Operation type;
3. Facility size; and
4. Geographic location.
(B) Group together those with a significant similarity, except geographic locations;
(C) Group together those that are similar by geographic location, regardless of whether or not the differences between locations are significant;
(D) Where the distinct groups have been identified in subsections (B) and (C) above, determine the median total BLN cost for each group.
(3) Convert each median cost identified in subsection (2)(D) above to the cost per resident per month using the following formula:

MEDIAN COST PER RESIDENT MONTH = Median cost per day for each item X 30.44 days

Cal. Code Regs. Tit. 17, § 56911

1. New section filed 1-14-91; operative 2-13-91 (Register 91, No. 14).
2. Amendment of subsection (a) filed 11-23-94; operative 11-23-94 (Register 94, No. 47).
3. Editorial correction of subsection (a) (Register 94, No. 50).
4. Editorial correction of subsections (a), (b)(1)(B), and (b)(3) (Register 95, No. 18).
5. Change without regulatory effect amending subsections (b)(1)(A)-(C), (b)(2)(A)1., (b)(2)(D) and (b)(3) filed 6-19-95 pursuant to section 100, title 1, California Code of Regulations (Register 95, No. 25).

Note: Authority cited: Section 4681.1, Welfare and Institutions Code. Reference: Section 4681.1, Welfare and Institutions Code.

1. New section filed 1-14-91; operative 2-13-91 (Register 91, No. 14).
2. Amendment of subsection (a) filed 11-23-94; operative 11-23-94 (Register 94, No. 47).
3. Editorial correction of subsection (a) (Register 94, No. 50).
4. Editorial correction of subsections (a), (b)(1)(B), and (b)(3) (Register 95, No. 18).
5. Change without regulatory effect amending subsections (b)(1)(A)-(C), (b)(2)(A)1., (b)(2)(D) and (b)(3) filed 6-19-95 pursuant to section 100, title 1, California Code of Regulations (Register 95, No. 25).