TITLE 56

PUBLIC ASSISTANCE AND WELFARE

CHAPTER 16

IDAHO INTERMEDIATE CARE FACILITY ASSESSMENT ACT

56-1609.  annual INTERMEDIATE CARE FACILITY adjustment payments. (1) All ICFs shall be eligible for annual ICF adjustments.

(2)  For the purpose of this section, "medicaid days" are days of ICF services paid for by the Idaho medical assistance program for the applicable state fiscal year.

(a)  For state fiscal year 2011, medicaid days for each provider’s cost report ending in calendar year 2009 shall be utilized to determine the ICF adjustment payment.

(b)  For state fiscal year 2012, medicaid days for each provider’s cost report ending in calendar year 2010 shall be utilized to determine the ICF adjustment payment.

(c)  Adjustment payments for a new provider, not new ownership, without a full year cost report shall be determined using medicaid patient day information from the full calendar quarter of business prior to the rate adjustment quarter.

(3)  Adjustment payments shall be paid on an annual basis to reimburse covered medicaid expenditures in the aggregate within the upper payment limit.

(4)  If a provider does not pay its annual assessment within thirty (30) days after receipt of the department invoice, no further rate adjustment payments shall be made to the provider until receipt of all assessments in arrears. If a provider pays its annual assessment more than sixty (60) days after receiving the department invoice, the subsequent adjustment payment shall be reduced twenty percent (20%).

History:

[56-1609, added 2011, ch. 164, sec. 24, p. 482.]