Statutes, codes, and regulations
Wyoming Administrative Code
Agency 048 - Health, Department ofSubagency 0037 - Medicaid
Chapter 7 - WYOMING NURSING HOME REIMBURSEMENT SYSTEM
Section 7-19 - State Owned Nursing Facilities

048-7 Wyo. Code R. § 7-19

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Current through April 27, 2019
Section 7-19 - State Owned Nursing Facilities

Any state owned nursing facility will be subject to all rules within this chapter with the exception of the rate and price setting Sections 7, 8, 13(d), 14, 15, 16, 17(c), and 18.

(a) Per diem rates shall be calculated separately from other facilities in this chapter and the state owned nursing facility data will not be included in the database of providers identified in Section 14.

(b) The provider's per diem rate shall be determined utilizing either a desk reviewed or audited cost report. Costs will not be subject to any form of cap or maximum rate.

  • (i) Effective date. The provider's per diem rate shall become effective on July 1 of each year.
  • (ii) Per diem rates are established prospectively and shall remain in effect from the rate effective date until re-determined pursuant to this rule.
  • (iii) The most currently reviewed cost report will be used to set the future rate. The same year will not be used twice.

(c) Rates shall be established by inflating the audited or desk reviewed costs from the midpoint of the provider's cost reporting year to the midpoint of the rate year. Inflated costs will be divided by total patient days to arrive at the allowed per diem rate.

(d) "Inflation factor." The inflation factor is the Skilled Nursing Facility (SNF) Market Basket as published quarterly by DRI/Global Resources or its successor.

048-7 Wyo. Code R. § 7-19

Amended, Eff. 6/14/2017.

Amended, Eff. 4/26/2019.