249L.2 - DEFINITIONS.
249L.2 DEFINITIONS.
As used in this chapter, unless the context otherwise requires:
1. "Department" means the department of human services.
2. "Direct care worker" means an employee of a nursing
facility who holds a nursing assistant certification, is employed for
the purpose of nursing assistance, and provides direct care to
residents, regardless of the employee's job title.
3. "Gross revenue" means all revenue reported by the nursing
facility for patient care, room, board and services, but does not
include contractual adjustments, bad debt, Medicare revenue, or
revenue derived from sources other than nursing facility operations
including but not limited to nonoperating revenue and other operating
revenue.
4. "Medically indigent individual" means an individual
eligible for coverage under the medical assistance program who is a
resident of a Medicaid-certified nursing facility.
5. "Nonoperating revenue" means income from activities not
relating directly to the day-to-day operations of a nursing facility
such as gains on the disposal of a facility's assets, dividends, and
interest from security investments, gifts, grants, and endowments.
6. "Nursing facility" means a licensed nursing facility as
defined in section 135C.1 that is a freestanding facility or a
nursing facility operated by a hospital licensed pursuant to chapter
135B, but does not include a distinct-part skilled nursing unit or a
swing-bed unit operated by a hospital, or a nursing facility owned by
the state or federal government or other governmental unit.
7. "Other operating revenue" means income from nonpatient
care services to patients and from sales to and activities for
persons other than patients which may include but are not limited to
such activities as providing personal laundry service for patients,
providing meals to persons other than patients, gift shop sales, or
vending machine commissions.
8. "Patient day" means a calendar day of care provided to an
individual resident of a nursing facility that is not reimbursed
under Medicare, including the date of admission but not including the
date of discharge, unless the dates of admission and discharge occur
on the same day, in which case the resulting number of patient days
is one patient day.
9. "Uniform tax requirement waiver" means a waiver of the
uniform tax requirement for permissible health care-related taxes as
provided in 42 C.F.R. § 433.68(e)(2)(i) and (ii). Section History: Recent Form
2009 Acts, ch 160, §2, 5 Footnotes
Implementation of chapter contingent upon departmental
determinations, submission of medical assistance program waiver and
state plan amendment requests, and federal approval of the requests;
2009 Acts, ch 160, §5--9