Current through Pa Acts 2024-53, 2024-56 through 2024-111
Section 454.1 - Case-mix rates for nursing facilities(a) From money appropriated for medical assistance long-term living under the act of August 3, 2023 (P.L. , No.1a), known as the General Appropriation Act of 2023, for fiscal year 2023-2024, the department shall calculate each nursing facility's case-mix rate based on the cost database and peer group prices for each net operating cost center used in the calculation of each nursing facility's case-mix for fiscal year 2022-2023. Each nursing facility's case-mix rate shall be adjusted quarterly in accordance with 55 Pa. Code § 1187.96(A)(5) (relating to price-and rate-setting computations).(b) From money appropriated for medical assistance community healthchoices under the General Appropriation Act of 2023, for fiscal year 2023-2024, the department shall calculate each nursing facility's case-mix rate based on the cost database and peer group prices for each net operating cost center used in the calculation of each nursing facility's case-mix for fiscal year 2022-2023. Each nursing facility's case-mix rate shall be adjusted quarterly in accordance with 55 Pa. Code § 1187.96(A)(5).Added by P.L. TBD 2023 No. 15, § 2, eff. 10/23/2023.