Current through Register Vol. 54, No. 36, September 7, 2024
Section 1181.212 - General principles(a) A facility's direct or indirect allowable costs related to patient care will be considered in the finding and allocation of costs to the MA Program for its eligible recipients.(b) Total allowable costs of a facility will be apportioned between third-party payors and other patients so that, within the limits of this subchapter, the share borne by MA under Title XIX of the Public Health Service Act, 42 U.S.C. Chapter 6A, Subchapter XIX is based upon those actual services and costs related to MA recipients.(c) Within the limits of this subchapter, allowable costs include those costs necessary to provide skilled or intermediate care. These may include costs related to all of the following:(4) Plant operation and maintenance.(7) Related clerical staff.(10) Utilization and medical review.(14) Over-the-counter drugs.(16) Physical, occupational and speech therapy.(25) Interest on capital indebtedness.(d) In certain cases under MA principles, there may be more than one method for handling a cost item. In these cases the method initially elected by the provider shall be followed consistently in subsequent reporting periods except as provided in this subchapter.The provisions of this §1181.212 adopted August 5, 1983, effective 7/1/1983, 13 Pa.B. 2402.