D.C. Mun. Regs. tit. 29, r. 29-6519

Current through Register Vol. 71, No. 49, December 6, 2024
Rule 29-6519 - REIMBURSEMENT FOR REORGANIZED FACILITIES, EXPANDED FACILITIES, REDUCED CAPACITY, OR CHANGE OF OWNERSHIP
6519.1

A nursing facility that has been reorganized pursuant to Chapter 11 of Title 11 of the United States Bankruptcy Code on or after September 30, 2000 shall be reimbursed at the same rate in effect prior to the date the reorganized facility filed its petition for bankruptcy.

6519.2

A nursing facility with a change of ownership on or after September 30, 2000 shall be reimbursed at the same rate established for the nursing facility prior to the change of ownership, except the capital per diem shall be the greater of the base year day-weighted average per diem of facilities in the assigned peer group or the capital rate for the nursing facility prior to the change of ownership.

6519.3

A nursing facility that expands its bed capacity shall be reimbursed for its newly added beds at the same rate established for the nursing facility prior to the expansion until the next rebasing effective date, unless the addition of beds qualifies the expanded facility for a different peer group.

6519.4

If the expanded facility qualifies for a different peer group, the facility rates will be adjusted to comply with the new peer group rates one (1) year after the new beds are put into service, or on the next rebasing date, whichever comes first.

6519.5

A nursing facility that reduces its bed capacity shall continue to be reimbursed at the same rate established for the nursing facility prior to the bed reduction until the next rebasing effective date, unless the bed reduction qualifies the facility for a different peer group.

6519.6

If a reduction in the number of beds qualifies the facility for a different peer group, the facility rates will be adjusted to comply with the new peer group rates as soon as the reduction is effective.

D.C. Mun. Regs. tit. 29, r. 29-6519

Final Rulemaking published at 53 DCR 1370 (February 24, 2006); amended by Final Rulemaking published at 66 DCR 13664 (10/18/2019)