Header-Image (Do Not Change) Page Sections Search Provider Manuals: Nursing FacilitiesChapter 1: General Information Chapter 2: Provider Participation Requirements Chapter 3: Member Eligibility Chapter 4: Covered Services and Limitations Chapter 5: Billing Instructions Chapter 6: Utilization Review and Control Chapter 7: Residents' Rights and Responsibilities Chapter 8: Method for Establishing Payment Rates Chapter 9: Nursing Facility Sanctions Chapter 10: Appendix D: Instructions for Completing the Patient Intensity Rating System Review Chapter 11: Appendix F: Nursing Facility Price-Based Payment Billing Guide Chapter 12: Appendix H: Value Based Purchasing Program Chapter 13: Brain Injury Services Case Management