Pennsylvania Code (Last Updated: April 5, 2016) |
Title 55. PUBLIC WELFARE |
PART III. Medical Assistance Manual |
Chapter 1181. Nursing Facility Care |
SubChapter B. MANUAL FOR ALLOWABLE COST REIMBURSEMENT FOR SKILLED NURSING AND INTERMEDIATE CARE FACILITIES |
Section 1181.215. Efficiency incentive
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Subject to the sanctions specified in § § 1181.911181.96 (relating to administrative sanctions), an efficiency incentive will be allowable for a nonpublic facility if the facilitys audited net operating per diem costs are less than the applicable group ceiling. In determining the efficiency incentive, the following limitations apply:
(1) Proprietary facilities may receive an efficiency incentive of up to 8.5% of the Statewide average net operating per diem cost of general nursing facilities excluding hospital-based and special rehabilitation facilities for each level of care for the prior fiscal year.
(2) Nonprofit facilities may receive an efficiency incentive of up to 6% of the Statewide average net operating per diem cost of general nursing facilities excluding hospital-based and special rehabilitation facilities for each level of care for the prior fiscal year.
(3) In no event may the total of a facilitys audited net operating per diem rate and the efficiency incentive exceed the applicable group ceiling for the facility.
The provisions of this § 1181.215 adopted August 5, 1983, effective July 1, 1983, 13 Pa.B. 2402; amended March 10, 1989, effective immediately and applies retroactively to January 1, 1989, 19 Pa.B. 1005. Immediately preceding text appears at serial page (124145).