N.J. Admin. Code § 8:85-3.15
Current through Register Vol. 56, No. 21, November 4, 2024
Section 8:85-3.15 - Special Care Nursing Facility (SCNF) rates(a) Effective for dates of service between July 1, 2010 and June 30, 2011, the rates for a Class III NF, Special Care Nursing Facility (SCNF), shall be the facility rate as of June 30 preceding the rate year adjusted by the percent change allowed for in 8:85-3.13(c). 1. To qualify as an SCNF, the NF must meet all of the Department's contractual requirements and be approved by the Department as an SCNF in accordance with the requirements of N.J.A.C. 8:33, 8:33H, 8:39 and this chapter.2. SCNFs shall be grouped by: i. Ventilator/Respirator;v. Neurologically Impaired; andvi. Behavioral Management.(b) Effective for dates of service on or after July 1, 2011, the Department shall calculate preliminary SCNF reimbursement rates based on the total allowable costs of providing SCNF services as identified on cost reports filed by SCNFs pursuant to 8:85-3.2. 1. The preliminary reimbursement rates shall be limited to the lesser of the rate in effect for each SCNF during the preceding year prior to the application of 8:85-3.13(c), or its rate based on total allowable costs determined pursuant to (b) above, and shall be subject to any amounts appropriated for the current rate year.N.J. Admin. Code § 8:85-3.15
Amended by R.1987 d.6, effective 1/5/1987.
See: 18 N.J.R. 257(a), 19 N.J.R. 126(a).
Added text in (a)1 "A separate calculation will be made for governmental facilities."
Recodified from 10:63-3.14 and amended by R.1994 d.624, effective 1/3/1995.
See: 26 N.J.R. 3614(a), 27 N.J.R. 156(a).
Recodified from N.J.A.C. 10:63-3.15 and amended by R.2005 d.389, effective 1/17/2006.
See: 36 N.J.R. 4700(a), 37 N.J.R. 1185(a), 38 N.J.R. 674(a).
In (a)3 and 4, changed N.J.A.C. 10:63 reference to N.J.A.C. 8:85.
Repeal and New Rule, R.2011 d.121, effective 4/18/2011.
See: 42 N.J.R. 1793(a), 43 N.J.R. 961(c).
Section was "Property insurance".