Oregon Administrative Rules|Section 411-070-0417 - Treatment of Complex Medical Add-Ons

                                                
Current through Register Vol. 60, No. 12, December 1, 2021 
(1) The complex medical add-on reflects the additional costs of providing skilled nursing services for certain residents due to their needs.
 
(2) The complex medical add-on is added to the basic rate.
 
(3) When calculating per resident day care compensation cost, the treatment of the complex medical add-on is as follows: 
(a) The allowable care compensation costs for both the basic rate and the complex medical add-on are divided by total basic rate resident days.
 
(b) Revenue from the complex medical add-on received for eligible individuals is divided by the number of Medicaid basic rate resident days.
 
(c) The per resident day amounts computed in section (3)(a) of this rule are reduced by the per Medicaid resident day amounts computed in section (3)(b) of this rule. The result is defined as care compensation per resident day and shall be used in determining the prospective base rate.
 
 
Or. Admin. R. 411-070-0417
SSD 6-1993, f. 6-30-93, cert. ef. 7-1-93; SSD 1-1997, f. 6-30-97, cert. ef. 7-1-97; SPD 15-2009, f. 11-30-09, cert. ef. 12-1-09
Stat. Auth.: ORS 410.070
 
Stats. Implemented: ORS 410.070