N.H. Code Admin. R. He-E 801.09

Current through Register No. 25, June 20, 2024
Section He-E 801.09 - Cost Control Methodology
(a) The total cost of a participant's or applicant's home-based services shall include the costs of all LTSS services provided under the CFI waiver program.
(b) Costs associated with services rendered for acute care needs, EAS, and community transitions shall not be included in the calculation in (a) above.
(c) The average annual cost for the provision of services to a person in a nursing facility shall be calculated by adding:
(1) The basic medicaid cost, determined by dividing the total annual medicaid cost stated in the nursing facility budget line by the number of paid medicaid bed days for that budget year; and
(2) The average aggregate payment made under the medicaid quality incentive program, through the nursing facility trust fund as described in RSA 151-E:14 and 151-E:15, divided by the number of paid medicaid bed days.

N.H. Code Admin. R. He-E 801.09

(See Revision Note at part heading for He-E 801) #9969, eff 8-8-11

Amended by Volume XXXIX Number 32, Filed August 8, 2019, Proposed by #12830, Effective 8/7/2019, Expires 2/3/2020.
Amended by Volume XLII Number 6, Filed February 10, 2022, Proposed by #13340, Effective 1/29/2022, Expires 1/29/2032.