Iowa Admin. Code r. 441-36.6
Current through Register Vol. 47, No. 11, December 11, 2024
Rule 441-36.6 - Assessment(1)Applicability. All nursing facilities as defined in Iowa Code section 135C.1 that are free-standing facilities or are operated by a hospital licensed pursuant to Iowa Code chapter 135B shall pay a quarterly assessment to the department, as determined under this division, with the exception of: a. Nursing facilities operated by the state.b. Non-state government-owned or government-operated nursing facilities.c. Distinct-part skilled nursing units and swing-bed units operated by a hospital.(2)Assessment level. Effective July 1, 2012, the assessment level for each nursing facility shall be determined on an annual basis and shall be effective for the state fiscal year. a. Effective July 1, 2019, nursing facilities with 46 or fewer licensed beds are required to pay a quality assurance assessment of $2.45 per non-Medicare patient day. Effective with assessment for the state fiscal year beginning July 1, 2021, the number of licensed beds on file with the department of inspections and appeals as of June 1 of each year shall be used to determine the assessment level for the following state fiscal year.b. Effective July 1, 2019, nursing facilities designated as continuing care retirement centers (CCRCs) by the insurance division of the Iowa department of commerce are required to pay a quality assurance assessment of $2.45 per non-Medicare patient day. Effective with assessment for the state fiscal year beginning July 1, 2021, continuing care retirement center designations as of June 1 of each year shall be used to determine the assessment level for the following state fiscal year.c. Effective July 1, 2019, nursing facilities with annual Iowa Medicaid patient days of 21,000 or more are required to pay a quality assurance assessment of $2.45 per non-Medicare patient day. Effective with assessment for the state fiscal year beginning July 1, 2021, the annual number of Iowa Medicaid patient days reported in the most current cost report submitted to Iowa Medicaid as of June 1 of each year shall be used to determine the assessment level for the following state fiscal year.d. Effective July 1, 2019, all other nursing facilities are required to pay a quality assurance assessment of $12.75 per non-Medicare patient day.Iowa Admin. Code r. 441-36.6
ARC 8258B, lAB 11/4/09, effective 1/1/10; ARC 8894B, lAB 6/30/10, effective 7/1/10; ARC 9127B, lAB 10/6/10, effective 11/10/10; ARC 9892B, lAB 11/30/11, effective 2/1/12Amended by IAB July 4, 2018/Volume XLI, Number 1, effective 9/1/2018Amended by IAB May 8, 2019/Volume XLI, Number 23, effective 7/1/2019Amended by IAB December 2, 2020/Volume XLIII, Number 12, effective 7/1/2021Amended by IAB October 5, 2022/Volume XLV, Number 7, effective 12/1/2022