Section 5168.41 - Determination of nursing home and hospital long-term care franchise permit fee rate(A) The franchise permit fee rate shall be determined for each fiscal year as follows: (1) Determine the estimated total net patient revenues for all nursing homes and hospital long-term care units for the fiscal year;(2) Multiply the estimated total net patient revenues determined under division (A)(1) of this section by the lesser of the following:(a) The indirect guarantee percentage;(3) Divide the product determined under division (A)(2) of this section by the number of days in the fiscal year;(4) Determine the sum of the following:(a) The total number of beds in all nursing homes and hospital long-term care units that are subject to the franchise permit fee for the fiscal year;(b) The total number of nursing home beds that are exempt from the franchise permit fee for the fiscal year because of the waiver obtained pursuant to section 5168.43 of the Revised Code.(5) Divide the quotient determined under division (A)(3) of this section by the sum determined under division (A)(4) of this section.(B) In determining the estimated total net patient revenues for all nursing homes and hospital long-term care units for a fiscal year, the department of medicaid shall use at least all of the following:(1) Information from medicaid cost reports filed under section 5165.10 of the Revised Code that are the most recent at the time the determination is made;(2) The projected total medicaid payment rates for nursing facility services for the fiscal year;(3) The projected total number of medicaid days for the fiscal year.Added by 130th General Assembly, HB 59,§101.01, eff. 7/1/2013.