Chapter 1181. Nursing Facility Care  


SubChapter A. NURSING FACILITY CARE
SubChapter B. MANUAL FOR ALLOWABLE COST REIMBURSEMENT FOR SKILLED NURSING AND INTERMEDIATE CARE FACILITIES
SubChapter C. [Reserved]
SubChapter D. NURSING HOME REFORM—STATEMENT OF POLICY

Notation

Source

   The provisions of this Chapter 1181 codified July 24, 1981, effective July 25, 1981, 11 Pa.B. 2610, unless otherwise noted.

Notes of Decisions

   The MA Program provides cost-related reimbursement on behalf of eligible individuals whose institutional care for skilled nursing home or intermediate care in a licensed nonpublic facility is prescribed by a physician. Harston Hall Nursing and Convalescent Home, Inc. v. Department of Public Welfare, 513 A.2d 1097 (Pa. Cmwlth. 1986).

   Nursing facility not entitled to reimbursement from Department of Public Welfare under medical assistance program for accrued employee vacation costs for year facility converted from cash to accrual accounting of employee vacation pay; based on Department’s rules, allowable accrued vacation expense was calculated by subtracting accrued vacation costs from prior year from accrued vacation costs for the reporting year, and facility did not include accrued vacation costs for either fiscal year in the cost report submitted to the Department. Cambria City Home and Hospital v. Department of Public Welfare, 907 A.2d 661, 667, 668 (Pa. Cmwlth. 2006).

Cross References

   This chapter cited in 55 Pa. Code §  1101.31 (relating to scope); 55 Pa. Code §  1101.95 (relating to conflicts between general and specific provisions); 55 Pa. Code §  1151.48 (relating to noncompensable services and items); 55 Pa. Code §  1163.59 (relating to noncompensable services, items and outlier days); 55 Pa. Code §  1163.455 (relating to noncompensable services and items); and 55 Pa. Code §  1187.113b (relating to capital cost reimbursement waivers—statement of policy).