71-5-1413 - Acuity-based reimbursement methodology for nursing facility services.

71-5-1413. Acuity-based reimbursement methodology for nursing facility services.

(a)  The commissioner shall develop and implement an acuity-based reimbursement methodology for nursing facility services, based on an individualized assessment of need, as an alternative to the current cost-based nursing facility reimbursement system.

(b)  The methodology may include, but is not limited to, the development of enhanced rates for specified chronic care services that may encourage the establishment of chronic care units that specialize in the care of persons with specified chronic care conditions, such as persons who are ventilator-dependent.

(c)  The acuity-based reimbursement methodology for nursing facility services shall be implemented over a period not to exceed two (2) years from the initial date of implementation of such system or three (3) years from July 1, 2008, pursuant to a methodology established in regulations promulgated by the commissioner.

[Acts 2008, ch. 1190, § 14.]