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April 04, 2022, 10:48 EDT

Chapter 13: Appendix E: Nursing Facility Cost Reimbursement Limits

MEDICAL DIRECTOR'S FEES

 

Costs will be allowed up to the established limit per year to the extent that such fees are determined to be reasonable and proper. This limit will be escalated annually by the Consumer Price Index (all urban) January 1 of each calendar year to be effective for all providers' cost reporting periods ending on or after that date. The limits will be published annually. The following limits apply to the time periods as indicated:

JANUARY 1, 1988 - DECEMBER 31, 1988                          $ 6,204

JANUARY 1, 1989 - DECEMBER 31, 1989                          $ 6,625

JANUARY 1, 1990 - DECEMBER 31, 1990                          $ 6,944

JANUARY 1, 1991 - DECEMBER 31, 1991                          $ 7,333

JANUARY 1, 1992 - DECEMBER 31, 1992                          $ 7,641

JANUARY 1, 1993 - DECEMBER 31, 1993                          $ 7,878

JANUARY 1, 1994 - DECEMBER 31, 1994                          $ 8,130

JANUARY 1, 1995 - DECEMBER 31, 1995                          $ 8,350

JANUARY 1, 1996 - DECEMBER 31, 1996                          $ 8,592

JANUARY 1, 1997 - DECEMBER 31, 1997                          $ 8,841

JANUARY 1, 1998 - DECEMBER 31, 1998                          $ 9,062

JANUARY 1, 1999 - DECEMBER 31, 1999                          $ 9,216

JANUARY 1, 2000 - DECEMBER 31, 2000                          $ 9,437

JANUARY 1, 2001 - DECEMBER 31, 2001                          $ 9,739

JANUARY 1, 2002 - DECEMBER 31, 2002                          $10,031

JANUARY 1, 2003 - DECEMBER 31, 2003                          $10,212

JANUARY 1, 2004 - DECEMBER 31, 2004                          $10,457

JANUARY 1, 2005 - DECEMBER 31, 2005                          $10,760

JANUARY 1, 2006 - DECEMBER 31, 2006                          $11,115

 

 

 

 

MANAGEMENT FEES

 

Limits will be based upon comparisons with other similar size facilities and/or other DMAS guidelines and information, or both.

 

Effective for all cost reporting periods ending on or after October 1, 1990, a per-patient-day ceiling for all full service management service costs was established. The ceiling limitation for cost report periods ending on or after October 1, 1990, through December 31, 1990, was the median per-patient-day cost as determined from information contained in the most recent cost reports for all providers with fiscal years ending through December 31, 1989. For subsequent years, these limits are adjusted annually by the Consumer Price Index (all urban) effective January 1 of each calendar year to be effective for all provider cost reporting periods ending on or after that date. The limits are published and distributed to providers annually.

The following limits per patient day apply to the time periods indicated:

                                          OCTOBER 1, 1990 - DECEMBER 31, 1990                                          $2.81

JANUARY 1, 1991 - DECEMBER 31, 1991                         $2.97

JANUARY 1, 1992 - DECEMBER 31, 1992                         $3.09

JANUARY 1, 1993 - DECEMBER 31, 1993                         $3.19

JANUARY 1, 1994 - DECEMBER 31, 1994                         $3.29

JANUARY 1, 1995 - DECEMBER 31, 1995                         $3.38

JANUARY 1, 1996 - DECEMBER 31, 1996                         $3.48

JANUARY 1, 1997 - DECEMBER 31, 1997                         $3.58

JANUARY 1, 1998 - DECEMBER 31, 1998                          $3.67

JANUARY 1, 1999 - DECEMBER 31, 1999                          $3.73

JANUARY 1, 2000 - DECEMBER 31, 2000                          $3.82

JANUARY 1, 2001 - DECEMBER 31, 2001                          $3.94

JANUARY 1, 2002 - DECEMBER 31, 2002                          $4.06

JANUARY 1, 2003 - DECEMBER 31, 2003                          $4.13

JANUARY 1, 2004 - DECEMBER 31, 2004                          $4.23

JANUARY 1, 2005 - DECEMBER 31, 2005                          $4.35

JANUARY 1, 2006 - DECEMBER 31, 2006                          $4.49

 

 

 

 

DMAS ADMINISTRATOR/OWNER COMPENSATION SCHEDULE JANUARY 1, 2006 - DECEMBER 31, 2006

 

Bed Size

1

Administrator

2+

Administrators

1 - 75

$ 54,881

$ 82,318

76 - 100

59,511

89,258

101 - 125

68,433

102,651

126 - 150

77,356

116,039

151 - 175

86,611

129,922

176 - 200

95,544

143,310

201 - 225

102,238

153,347

226 - 250

108,928

163,399

251 - 275

115,625

173,436

276 - 300

122,321

183,484

301 - 325

129,012

193,525

326 - 350

135,708

203,569

351 - 375

142,496

213,742

376 & Over

149,622

224,433

 

These limits will be escalated annually by the Consumer Price Index (all urban)  effective January 1 of each calendar year to be effective for all providers' cost reporting periods ending on or after that date. The limits will be published and distributed to providers annually.

 

 

 

 

DMAS ADMINISTRATOR/OWNER COMPENSATION SCHEDULE JANUARY 1, 2005 - DECEMBER 31, 2005

 

Bed Size

1

Administrator

2+

Administrators

1 - 75

$ 53,128

$ 79,688

76 - 100

57,610

86,407

101 - 125

66,247

99,372

126 - 150

74,885

112,332

151 - 175

83,844

125,772

176 - 200

92,492

138,732

201 - 225

98,972

148,448

226 - 250

105,448

158,179

251 - 275

111,931

167,895

276 - 300

118,413

177,622

301 - 325

124,891

187,343

326 - 350

131,373

197,066

351 - 375

137,944

206,914

376 & Over

144,842

217,263

 

These limits will be escalated annually by the Consumer Price Index (all urban)  effective January 1 of each calendar year to be effective for all providers' cost reporting periods ending on or after that date. The limits will be published and distributed to providers annually.

 

 

 

 

DMAS ADMINISTRATOR/OWNER COMPENSATION SCHEDULE JANUARY 1, 2004 - DECEMBER 31, 2004

 

Bed Size

1

Administrator

2+

Administrators

1 - 75

$ 51,631

$ 77,442

76 - 100

55,986

83,972

101 - 125

64,380

96,571

126 - 150

72,775

109,166

151 - 175

81,481

122,227

176 - 200

89,885

134,822

201 - 225

96,183

144,264

226 - 250

102,476

153,721

251 - 275

108,776

163,163

276 - 300

115,076

172,616

301 - 325

121,371

182,063

326 - 350

127,671

191,512

351 - 375

134,056

201,083

376 & Over

140,760

211,140

 

These limits will be escalated annually by the Consumer Price Index (all urban)  effective January 1 of each calendar year to be effective for all providers' cost reporting periods ending on or after that date. The limits will be published and distributed to providers annually.

 

 

 

 

 

DMAS ADMINISTRATOR/OWNER COMPENSATION SCHEDULE JANUARY 1, 2003 - DECEMBER 31, 2003

 

Bed Size

1

Administrator

2+

Administrators

1 - 75

$ 50,421

$ 75,627

76 - 100

54,674

82,004

101 - 125

62,871

94,308

126 - 150

71,069

106,607

151 - 175

79,571

119,362

176 - 200

87,778

131,662

201 - 225

93,929

140,883

226 - 250

100,074

150,118

251 - 275

106,227

159,339

276 - 300

112,379

168,570

301 - 325

118,526

177,796

326 - 350

124,679

187,023

351 - 375

130,914

196,370

376 & Over

137,461

206,191

 

These limits will be escalated annually by the Consumer Price Index (all urban)  effective January 1 of each calendar year to be effective for all providers' cost reporting periods ending on or after that date. The limits will be published and distributed to providers annually.

 

 

 

 

 

DMAS ADMINISTRATOR/OWNER COMPENSATION SCHEDULE JANUARY 1, 2002 - DECEMBER 31, 2002

 

Bed Size

1

Administrator

2+

Administrators

1 - 75

$ 49,529

$ 74,290

76 - 100

53,707

80,554

101 - 125

61,759

92,640

126 - 150

69,812

104,722

151 - 175

78,164

117,251

176 - 200

86,226

129,334

201 - 225

92,268

138,392

226 - 250

98,305

147,464

251 - 275

104,349

156,522

276 - 300

110,392

165,589

301 - 325

116,430

174,652

326 - 350

122,474

183,716

351 - 375

128,599

192,898

376 & Over

135,030

202,545

 

These limits will be escalated annually by the Consumer Price Index (all urban)  effective January 1 of each calendar year to be effective for all providers' cost reporting periods ending on or after that date. The limits will be published and distributed to providers annually.