Statutes, codes, and regulations
New Jersey Administrative Code
Title 8 - HEALTHChapter 85 - LONG-TERM CARE SERVICES
Subchapter 3 - COST REPORT, RATE CALCULATION AND REPORTING SYSTEM FOR LONG-TERM CARE FACILITIES
Section 8:85-3.16 - Phase in of case mix rates

N.J. Admin. Code § 8:85-3.16

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Current through Register Vol. 56, No. 21, November 4, 2024
Section 8:85-3.16 - Phase in of case mix rates
(a) For dates of service from July 1, 2010 through June 30, 2011, for Class I NFs and Class II NFs, the total adjusted case mix rate, exclusive of the provider tax pass-through per diem, shall be no more than $ 5.00 above the total reimbursement rate, exclusive of the provider tax pass-through per diem, in effect for the NF on June 30, 2010 and no less than $ 5.00 below the total reimbursement rate, exclusive of the provider tax pass-through per diem, in effect for the NF on June 30, 2010.
1. The Department shall apply the rate change protection in (a) above after any reduction in the operating and administrative price and the direct health care limit pursuant to 8:85-3.13(d)1 and 2 before the requirements of 8:85-3.13(c) are applied.
(b) For dates of service from July 1, 2011 through June 30, 2012, for Class I NFs and Class II NFs, the total adjusted case mix rate, exclusive of the provider tax pass-through per diem, shall be no more than $ 10.00 above the total reimbursement rate, exclusive of the provider tax pass-through per diem, in effect for the NF on June 30, 2010 and no less than $ 10.00 below the total reimbursement rate, exclusive of the provider tax pass-through per diem, in effect for the NF on June 30, 2010.
1. The Department shall apply the rate change protection in (b) above after any reduction in the operating and administrative price and the direct health care limit pursuant to 8:85-3.13(d)1 and 2 but before the requirements of 8:85-3.13(c) are applied.

N.J. Admin. Code § 8:85-3.16

Amended by R.1987 d.6, effective 1/5/1987.
See: 18 N.J.R. 257(a), 19 N.J.R. 126(a).
"Target" substituted for "largest".
Recodified from 10:63-3.15 and amended by R.1994 d.624, effective 1/3/1995.
See: 26 N.J.R. 3614(a), 27 N.J.R. 156(a).
Amended by R.1995 d.174, effective 3/20/1995 (operative April 1, 1995).
See: 27 N.J.R. 281(a), 27 N.J.R. 1307(a).
Amended by R.1999 d.74, effective 3/1/1999.
See: 30 N.J.R. 3191(a), 31 N.J.R. 678(b).
Rewrote (c).
Amended by R.2004 d.99, effective 3/15/2004.
See: 35 N.J.R. 2627(a), 36 N.J.R. 1356(a).
Rewrote the section.
Recodified from N.J.A.C. 10:63-3.16 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)5, 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 "Target occupancy levels".