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 1181.243. Social service staff
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Cost, pro rata, of up to one full-time equivalent unit of social service professional staff for each 60 patients will be allowable.
The provisions of this § 1181.243 adopted August 5, 1983, effective July 1, 1983, 13 Pa.B. 2402.
Notation
Allowable Costs
Department of Public Welfares regulations capping the amount of reimbursement to Medical Assistance providers for nursing care excludes salaries of unit managers and director of infection control program; even though the managers and director had nursing degrees, they did not provide direct patient care and therefore their salaries did not constitute nursing costs. St. Ignatius v. Department of Public Welfare, 918 A.2d 838, 845-846 (Pa. Cmwlth. 2007)
Nursing homes purchase of bereavement flowers for nursing facility employees was not an expense that was related to the proper care of nursing reimbursement facility residents; therefore, Department of Public Welfare properly excluded the expense from facilitys allowable Medical Assistance costs. St. Ignatius v. Department of Public Welfare, 918 A.2d 838, 846-847 (Pa. Cmwlth. 2007)