<html> <head> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <style> <!-- --> </style> </head> <body lang=EN-US link=blue vlink="#954F72"> <div> <p align=center><b>CHAPTER 67:16:04</b></p> <p align=center><b>&nbsp;</b></p> <p align=center><b>NURSING FACILITY RATE SETTING</b></p> <p>Section</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:01">67:16:04:01</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:02">67:16:04:02</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:03">67:16:04:03</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:04">67:16:04:04</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:04.01">67:16:04:04.01</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:05">67:16:04:05</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:05.01">67:16:04:05.01</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:06">67:16:04:06</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:06.01">67:16:04:06.01</a>&nbsp;&nbsp; Transferred.</p> <p>67:16:04:06:02&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:06.03">67:16:04:06.03</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:06.04">67:16:04:06.04</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:06.05">67:16:04:06.05</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07">67:16:04:07</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.01">67:16:04:07.01</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.02">67:16:04:07.02</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.03">67:16:04:07.03</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.04">67:16:04:07.04</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.05">67:16:04:07.05</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.06">67:16:04:07.06</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.07">67:16:04:07.07</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.08">67:16:04:07.08</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08">67:16:04:08</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08.01">67:16:04:08.01</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08.02">67:16:04:08.02</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08.03">67:16:04:08.03</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08.04">67:16:04:08.04</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08.05">67:16:04:08.05</a>&nbsp;&nbsp; Transferred.</p> <p>67:16:04:08:06&nbsp;&nbsp; Transferred.</p> <p>67:16:04:08:07&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08.08">67:16:04:08.08</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08.09">67:16:04:08.09</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:09">67:16:04:09</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:09.01">67:16:04:09.01</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:10">67:16:04:10</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:11">67:16:04:11</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:12">67:16:04:12</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:13">67:16:04:13</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:14">67:16:04:14</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:15">67:16:04:15</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:16">67:16:04:16</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:17">67:16:04:17</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:18">67:16:04:18</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:19">67:16:04:19</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:20">67:16:04:20</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:20.01">67:16:04:20.01</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:20.02">67:16:04:20.02</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:21">67:16:04:21</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:21.01">67:16:04:21.01</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:22">67:16:04:22</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:23">67:16:04:23</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:24">67:16:04:24</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:25">67:16:04:25</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p>67;16:04:26&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:27">67:16:04:27</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:28">67:16:04:28</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:29">67:16:04:29</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:30">67:16:04:30</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:31">67:16:04:31</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:32">67:16:04:32</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:33">67:16:04:33</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Definitions.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:34">67:16:04:34</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Required financial reports.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:35">67:16:04:35</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Deadline extensions.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:36">67:16:04:36</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Record retention.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:37">67:16:04:37</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Audits -- Appeal provisions.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:38">67:16:04:38</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Time limits for requesting hearing.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:39">67:16:04:39</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Notification of per diem rates.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:40">67:16:04:40</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Absence of regulations -- Allowable costs based on CMS-15.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:41">67:16:04:41</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Routine services.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:42">67:16:04:42</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Nonroutine services.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:43">67:16:04:43</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:44">67:16:04:44</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Allowable costs of related-party transactions.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:45">67:16:04:45</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Rent paid to related-party organization not allowable -- Cost of ownership used.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:46">67:16:04:46</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Depreciation.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:47">67:16:04:47</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Costs not allowed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:48">67:16:04:48</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:49">67:16:04:49</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Occupancy.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:50">67:16:04:50</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Return on net equity.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:51">67:16:04:51</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ceilings.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:52">67:16:04:52</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Maximum capital cost for leased facility.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:53">67:16:04:53</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:54">67:16:04:54</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Method of establishing per diem rates.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:54.01">67:16:04:54.01</a>&nbsp;&nbsp; Method of establishing per diem rates -- Case mix adjusted direct care costs.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:54.02">67:16:04:54.02</a>&nbsp;&nbsp; Method of establishing per diem rates -- Nondirect care costs of health and subsistence, plant/operational, and other operating costs.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:54.03">67:16:04:54.03</a>&nbsp;&nbsp; Method of establishing per diem rates -- Nondirect care costs of administration.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:55">67:16:04:55</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Provisional per diem rates.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:56">67:16:04:56</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Per diem rates as payment in full.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:56.01">67:16:04:56.01</a>&nbsp;&nbsp; Per diem rate -- Existing facility experiencing new operational ownership.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:57">67:16:04:57</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:58">67:16:04:58</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Facility's average per diem charge.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:59">67:16:04:59</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:60">67:16:04:60</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Basis of payment.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:61">67:16:04:61</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Preadmission screening.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:62">67:16:04:62</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Medicare Provider Reimbursement Manual.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:63">67:16:04:63</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> </div> </body> </html>