§ 1602-T. Medical assistance payments for institutional care
Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 72 P.S. Taxation and Fiscal AffairsEffective: June 29, 2022
Effective: June 29, 2022
72 P.S. § 1602-T
§ 1602-T. Medical assistance payments for institutional care
Notwithstanding section 443.1(7)(iv) of the act of June 13, 1967 (P.L. 31, No. 21),1 known as the Human Services Code:
(1) Payments to county and nonpublic nursing facilities enrolled in the medical assistance program as providers of nursing facility services shall be determined in accordance with the methodologies for establishing payment rates for county and nonpublic nursing facilities specified in the Department of Human Services's regulations and the Commonwealth's approved Title XIX State Plan for nursing facility services in effect after June 30, 2007. The following shall apply:
<Text of par. (1)(i) retroactively applicable to June 29, 2022, pursuant to 2022, July 11, P.L. 540, No. 54, § 39.1.>
(i) Subject to Federal approval of such amendments as may be necessary to the Commonwealth's approved Title XIX State Plan, the Department of Human Services shall apply a revenue adjustment neutrality factor to county and nonpublic nursing facility payment rates so that the estimated Statewide day-weighted average payment rate in effect for that fiscal year is limited to the amount permitted by the funds appropriated by the General Appropriation Act for the fiscal year. The revenue adjustment neutrality factor shall remain in effect until the sooner of June 30, 2026, or the date on which a new rate-setting methodology for medical assistance nursing facility services which replaces the rate-setting methodology codified in 55 Pa. Code Chs. 1187 (relating to nursing facility services) and 1189 (relating to county nursing facility services) takes effect.
(A) Beginning January 1, 2023, the Department of Human Services shall make capitation payments to medical assistance Community HealthChoices managed care organizations that include amounts exclusively for the purpose of making payments to nonpublic nursing facilities and county nursing facilities as provided under clause (B)(I).
Credits
1929, April 9, P.L. 343, No. 176, art. XVI-T, § 1602-T, added 2022, July 11, P.L. 540, No. 54, § 16, imd. effective.
Footnotes
62 P.S. § 443.1.
72 P.S. § 1602-T, PA ST 72 P.S. § 1602-T
Current through Act 10 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
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