Chapter 514 - Nursing Facility Services - DHHR - State of West ...

eimbursable. For example: if a facility has a full-time administrator or other full-time or parttimestaff position filled and compensated, the facility’s owner, operator or their relative claimingcompensation for the same or similar functions are not allowed by the program.Where owners, operators, or their relatives are on salary at a facility, the program will reimbursethe facility to the extent that said individuals salaries are not excessive compared to otherindividuals who perform the same or similar functions and who are not owners, operators ortheir relatives. Owners include any individual or organization with any financial interest in thefacility operation and any member of such individual’s family including the spouse’s family.Owners also include all partners and all stockholders of organizations which have a financialinterest in the facility.514.13.27 Non-Allowable CostsNon-allowable costs are those costs which are not related to patient care or for which aseparate charge is made. This includes, but is not limited to, bad debts, charity and courtesyallowances, Medicare Part B chargeable items, personal resident property that has beenreported as lost or stolen, flowers and retirement gifts for employees. Refer to the West VirginiaMedicaid Long Term Care Users Guide to Reimbursement and MCOA for other non-allowablecosts. Other items not referred to in the Chart of Accounts may be specified in State or Federalregulations as non-allowable costs. All undocumented expenses shall be considered nonallowable.514.13.28 Travel – Out of StateThe cost of travel and associated expenses outside the State for conventions, meetings,trainings, assemblies, conferences or any related activities are non-allowable costs.514.13.29 Automobiles – Central OfficeAutomobiles used by central/home office personnel are non-allowable.514.13.30 Legal FeesLegal fees on failed appeals against the DHHR are non-allowable.514.13.31 Fines and PenaltiesIn an effort to contain costs, it is expected that providers will pay obligations on time as well astake advantage of any early payment discounts that are offered by vendors. Costs related tofines, penalties, late charges or any other cost increase imposed by vendors for not payingobligations in a timely manner are not allowed. Similarly, any financial penalties or costincreases resulting from violations of regulations or from non-fulfillment of stipulations aredisallowed.Department of Health and Human Resources Chapter 514: Nursing Facility Services Page 64January 1, 2013DISCLAIMER: This manual does not address all the complexities of Medicaid policies and procedures,and must be supplemented with all State and Federal Laws and Regulations.