§ 74.46.521. Operations component rate allocation -- Determination
(1) The operations component rate allocation corresponds to the general operation of a nursing facility for one resident for one day, including but not limited to management, administration, utilities, office supplies, accounting and bookkeeping, minor building maintenance, minor equipment repairs and replacements, and other supplies and services, exclusive of direct care, therapy care, support services, property, financing allowance, and variable return.
(2) Except as provided in subsection (4) of this section, beginning October 1, 1998, the department shall determine each medicaid nursing facility's operations component rate allocation using cost report data specified by RCW 74.46.431(7)(a). Effective July 1, 2002, operations component rates for all facilities except essential community providers shall be based upon a minimum occupancy of ninety percent of licensed beds, and no operations component rate shall be revised in response to beds banked on or after May 25, 2001, under chapter 70.38 RCW.
(3) Except as provided in subsection (4) of this section, to determine each facility's operations component rate the department shall:
(a) Array facilities' adjusted general operations costs per adjusted resident day, as determined by dividing each facility's total allowable operations cost by its adjusted resident days for the same report period, increased if necessary to a minimum occupancy of ninety percent; that is, the greater of actual or imputed occupancy at ninety percent of licensed beds, for each facility from facilities' cost reports from the applicable report year, for facilities located within urban counties and for those located within nonurban counties and determine the median adjusted cost for each peer group;
(b) Set each facility's operations component rate at the lower of:
(i) The facility's per resident day adjusted operations costs from the applicable cost report period adjusted if necessary to a minimum occupancy of eighty-five percent of licensed beds before July 1, 2002, and ninety percent effective July 1, 2002; or
(ii) The adjusted median per resident day general operations cost for that facility's peer group, urban counties or nonurban counties; and
(c) Adjust each facility's operations component rate for economic trends and conditions as provided in RCW 74.46.431(7)(b).
(4)(a) Effective July 1, 2006, through June 30, 2007, for any facility whose direct care component rate allocation is set equal to its June 30, 2006, direct care component rate allocation, as provided in RCW 74.46.506(5), the facility's operations component rate allocation shall also be set equal to the facility's June 30, 2006, operations component rate allocation.
(b) The operations component rate allocation for facilities whose operations component rate is set equal to their June 30, 2006, operations component rate, shall be adjusted for economic trends and conditions as provided in RCW 74.46.431(7)(b).
(5) The operations component rate allocations calculated in accordance with this section shall be adjusted to the extent necessary to comply with RCW 74.46.421.
[2007 c 508 § 5; 2006 c 258 § 7; 2001 1st sp.s. c 8 § 13; 1999 c 353 § 8; 1998 c 322 § 28.]
Notes:
Effective date -- 2007 c 508: See note following RCW 74.46.410.
Effective date -- 2006 c 258: See note following RCW 74.46.020.
Severability -- Effective dates -- 2001 1st sp.s. c 8: See notes following RCW 74.46.020.
Effective dates -- 1999 c 353: See note following RCW 74.46.020.
Sections: Previous 74.46.485 74.46.496 74.46.501 74.46.506 74.46.508 74.46.511 74.46.515 74.46.521 74.46.531 74.46.533 74.46.600 74.46.610 74.46.620 74.46.625 74.46.630 Next
Last modified: April 7, 2009