N.M. Admin. Code § 8.312.3.14

Current through Register Vol. 36, No. 1, January 14, 2025

Section 8.312.3.14 - IMPUTED OCCUPANCY

In order to insure that the medicaid program does not pay for costs associated with unnecessary beds as evidenced by under-utilization, allowable facility costs will be calculated by imputing a ninety percent occupancy rate. This provision will apply to:

A. any new facility certified for participation in the medicaid program on or after January 1, 1988;

B. existing facilities, if the number of licensed or certified beds increases on or after January 1, 1988. In such cases, occupancy will be imputed for all beds;

C. replacement facilities, certified for participation in the medicaid program on or after January 1, 1988, if the replacement facility contains a higher number of licensed or certified beds than the facility being replaced;

D. any replaced facility which re-enters the medicaid program on or after January 1, 1988, either under the same ownership or different ownership;

E. any closed facility which re-enters the medicaid program on or after January 1, 1988;

F. facility costs will be adjusted and the resulting rate change will become effective when any of the above occurs; providers operating such facilities shall submit appropriate information regarding facility costs so that the rate adjustment can be computed.

N.M. Admin. Code § 8.312.3.14

2/1/95; 8.312.3.14 NMAC - Rn, 8 NMAC 4 MAD.731-D.VI, 7-1-02, Adopted by New Mexico Register, Volume XXXII, Issue 16, August 24, 2021, eff. 9/1/2021