Chapter 10.09.10 - Nursing Facility Services
- Section 10.09.10.01 - Definitions
- Section 10.09.10.02 - License Requirements
- Section 10.09.10.03 - Conditions for Participation
- Section 10.09.10.04 - Covered Services
- Section 10.09.10.05 - Limitations
- Section 10.09.10.06 - Preauthorization Requirements
- Section 10.09.10.07 - Prospective Rates
- Section 10.09.10.07-1 - Interim Working Capital Fund
- Section 10.09.10.07-2 - Prospective Rates Effective January 1, 2015
- Section 10.09.10.08 - Interim Working Capital Fund
- Section 10.09.10.08-1 - Rate Calculation - Administrative and Routine Costs for Rates Effective January 1, 2015
- Section 10.09.10.09 - Rate Calculation - Administrative and Routine Costs
- Section 10.09.10.09-1 - Rate Calculation - Therapy Services for Rates Effective on or Before December 31, 2014
- Section 10.09.10.09-2 - Rate Calculation - Other Patient Care Costs for Rates Effective January 1, 2015
- Section 10.09.10.10 - Rate Calculation - Other Patient Care Costs
- Section 10.09.10.10-1 - Rate Calculation - Capital Costs for Rates Effective January 1, 2015
- Section 10.09.10.11 - Rate Calculation - Capital Costs
- Section 10.09.10.11-1 - Pay-for-Performance - Eligibility
- Section 10.09.10.11-2 - Pay-for-Performance - Quality Measures
- Section 10.09.10.11-3 - Pay-for-Performance - Scoring Methodology
- Section 10.09.10.11-4 - Pay-for-Performance - Payment for Improvement
- Section 10.09.10.11-5 - Pay-for-Performance - Scoring Data Review
- Section 10.09.10.11-6 - Pay-for-Performance - Payment Distribution
- Section 10.09.10.11-7 - Rate Calculation - Nursing Service Costs for Rates Effective January 1, 2015
- Section 10.09.10.11-8 - Ventilator Care Nursing Facilities Effective January 1, 2015
- Section 10.09.10.12 - Rate Calculation - Nursing Service Costs
- Section 10.09.10.12-1 - Payment Procedures - Out-of-State Facilities for Rates Effective January 1, 2015
- Section 10.09.10.13 - Ventilator Care Nursing Facilities
- Section 10.09.10.14 - Pay-for-Performance - Eligibility
- Section 10.09.10.14-1 - Desk Reviews and Field Verification for Rates Effective January 1, 2015
- Section 10.09.10.14-2 - MDS Validation and Ventilator Care Validation for Rates Effective January 1, 2015
- Section 10.09.10.15 - Pay-for-Performance - Quality Measures
- Section 10.09.10.15-1 - New Nursing Facilities, Replacement Facilities, and Change of Ownership for Rates Effective January 1, 2015
- Section 10.09.10.16 - Pay-for-Performance - Scoring Methodology
- Section 10.09.10.16-1 - Selected Costs - Allowable for Payments for Services Provided Effective January 1, 2015
- Section 10.09.10.17 - Pay-for-Performance - Payment for Improvement
- Section 10.09.10.17-1 - Selected Costs - Not Allowable for Payments for Services Provided Effective January 1, 2015
- Section 10.09.10.18 - Pay-for-Performance - Scoring Data Review
- Section 10.09.10.19 - Pay-for-Performance - Payment Distribution
- Section 10.09.10.20 - Payment Procedures - Out-of-State Facilities
- Section 10.09.10.21 - Cost Reporting
- Section 10.09.10.22 - Desk Reviews and Field Verification
- Section 10.09.10.23 - Third Party Liability Reviews and Audits of Nursing Facilities
- Section 10.09.10.24 - MDS Validation and Ventilator Care Validation
- Section 10.09.10.25 - New Nursing Facilities, Replacement Facilities, and Change of Ownership
- Section 10.09.10.26 - Selected Costs - Allowable
- Section 10.09.10.27 - Selected Costs - Not Allowable
- Section 10.09.10.28 - Recipient's Resource
- Section 10.09.10.29 - Recipient's Personal Needs Fund
- Section 10.09.10.30 - Reimbursement Classes
- Section 10.09.10.31 - Nursing Service Personnel and Procedures
- Section 10.09.10.32 - Recovery and Reimbursement
- Section 10.09.10.33 - Cause for Suspension or Removal and Imposition of Sanctions
- Section 10.09.10.34 - Appeal Procedures
- Section 10.09.10.35 - Interpretive Regulation