7. In Section 3.126 (a), change Adjustment to Maximum to Adjustment to Case Mix, allowing the case mix index for facilities with fifty beds or less for rate setting to have a 20% increase on their case mix index.
8. Create Section 3.790 to allow the Department to pay the Medicaid portion of the cost to facilities that contract for relocation services when the Department has ordered a relocation plan.
9.
State in Section 3.500 that donated homes shall be valued at the lesser of fair market or net book value of the last owner.
10. Amend Sections 3.221, 3.253, 3.350, 3.430, 3.534 and 3.610 and to state that, if a facility's occupancy is below the minimum occupancy factor, allowable cost will be the projected cost divided by adjusted patients days times minimum occupancy factor.
11. Change the last sentence in Section 2.253 so that documented management costs may be substituted for reported costs, subject to allowability.
12. Move the definition of minimum occupancy from Section 3.030 to Section 1.317 and change all references to Section 3.030 accordingly.
13. Exclude boilers, air conditioners, condensers and windows from the energy incentive for projects approved or started after July 1, 2000.
14. State in Section 2.220 that residents are not to be charged for laundering of gowns.
15. Change wording in Section 3.523(2) to clarify the determination of lease maximums.
16. Amend Section 3.050 to add a subsection (4) stating that if a facility qualifies a rate adjustment under Section 4.800, licensed beds will be adjusted.
17. Amend eligibility standards under Section 4.800.
18. Change Section 3.040 to state that if a facility's fiscal year end falls between January 1, 2000 and June 30, 2000, its number of beds for rate setting will be the beds for rate used for the July 1, 1999, rate plus beds returned to the license from the bed bank but minus any bed bank deposit made through June 30, 2000. If a facility's fiscal year end falls on or after July 1, 2000, its bed for rate setting will be its licensed bed number at the end of its cost reporting period minus its bed bank balance.
19. Create Section 3.750 and move Sections 3.254 and 3.320 there.
20. Change section 1.800 to indicate that all administrative reviews should be sent to David Lund.
21. Adjust the base allowance, the qualifying Medicaid percentage and the calculation method for the exceptional Medicaid utilization adjustment in Section 3.750.
Copies of the Proposed Changes:
Copies of the available proposed changes and proposed rates may be obtained free of charge by writing to:
Division of Health Care Financing
Attn: Nursing Home Medicaid Payment Plan
P.O. Box 309
Madison, WI 53701-0309
or by faxing:
James Cobb at (608) 264-7720
The available proposed changes may be reviewed at the main office at any county department of social services or human services.
Written Comments/Meetings:
Written comments on the proposed changes may be sent to the Division of Health Care Financing, at the above address. The comments will be available for public review between the hours of 7:45 a.m. and 4:30 p.m. daily in Room 355 of the State Office Building, 1 West Wilson Street, Madison, Wisconsin. Revisions may be made in the proposed changes based on comments received. There will also be public meetings to seek input on the proposed plan amendment. If you would like to be sent a public meeting notice, please write to the above address. Revisions may also be made in the proposed changes based on comments received at these forums.
The State of Wisconsin
Department of Administration
Bureau of Integrated Document Services
Document Sales and Distribution Section
P.O. Box 7840
Dated Material. Please Do Not Delay!
