Section 471-45-002 - DEFINITIONSThe following definitions apply:
002.01ALLOWABLE COST. Those facility costs which are included in the computation of the facility's Per Diem. The facility's reported costs may be reduced because they are not allowable under Medicaid or Medicare regulation, or because they are limited under 471 Nebraska Administrative Code (NAC) 45-006.002.02ASSISTED LIVING RATES. Standard rates, single occupancy, rural or urban, per day equivalent, paid under the Home and Community-Based Waiver Services for Aged Persons or Adults or Children with Disabilities.002.03DEPARTMENT. As defined in Neb. Rev. Stat. § 68-907.002.04DIVISION. The Division of Medicaid and Long-Term Care.002.05FAIR MARKET VALUE. The price that the asset would bring by bona fide bargaining between well-informed buyers and sellers at the date of acquisition.002.06INDIAN HEALTH SERVICES NURSING FACILITY PROVIDER. An Indian Health Services nursing facility or a tribal nursing facility designated as an Indian Health Services provider and funded by the Title I or ill of the Indian Self-Determination and Education Assistance Act, Public Law 93-638.002.07LEVEL OF CARE. The classification of each resident based on his or her acuity level.002.08MEDIAN. A value or an average of two values in an ordered set of values, below and above which there is an equal number of values.002.09NURSING FACILITY. An institution, or a distinct part of an institution, which meets the definition and requirements of Title XIX of the Social Security Act, Section 1919.002.10RATE DETERMINATION. Per Diem rates calculated under provisions of this chapter. These rates may differ from rates actually paid for nursing facility services for Levels of Care 201 and 202.002.11RATE PAYMENT. Per Diem rates paid under provisions of 471 NAC 45. The payment rate for Levels of Care 201 and 202 is the applicable rate in effect for assisted living services under the Home and Community-Based Waiver Services for Aged Persons or Adults or Children with Disabilities adjusted to include the Nursing Facility Quality Assessment Component and the Quality Measures Component.002.12REVISIT FEES. Fees charged to health care facilities by the Secretary of Health and Human Services to cover the costs incurred under Centers for Medicare & Medicaid Services for conducting revisit surveys on health care facilities cited for deficiencies during initial certification, recertification, or substantiated complaint surveys.002.13STRAIGHT-LINE METHOD. A depreciation method in which the cost or other basis of the asset, less its estimated salvage value, if any, is determined and the balance of the cost is distributed in equal amounts over the assigned useful life of the asset class.002.14URBAN. Douglas, Lancaster, Sarpy, and Washington Counties. Rural means all other Nebraska counties.002.15WAIVERED FACILITY. Facilities for which the State Certification Agency has waived professional nurse staffing requirements of omnibus budget reconciliation act of 1987 are classified as waivered if the total number of waivered days exceeds 90 calendar days at any time during the reporting period.002.16WEIGHTED RESIDENT DAYS. A facility's inpatient days, as adjusted for the acuity level of the residents in that facility.471 Neb. Admin. Code, ch. 45, § 002
Adopted effective 6/6/2022Amended effective 6/2/2024