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

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514.13.17 Capitalized Assets ................................................................................................... 60514.13.18 Working Capital Interest........................................................................................... 60514.13.19 Vehicle Expenses .................................................................................................... 60514.13.20 Allocated Costs ........................................................................................................ 61514.13.21 Home Office Costs ................................................................................................... 61514.13.22 Non-Reimbursed Prescription Costs ........................................................................ 62514.13.23 Transportation Services ........................................................................................... 62514.13.24 Compensation ......................................................................................................... 62514.13.25 Administrators .......................................................................................................... 63514.13.26 Owners .................................................................................................................... 63514.13.27 Non-Allowable Costs ............................................................................................... 64514.13.28 Travel - Out of State ................................................................................................ 64514.13.29 Automobiles – Central Office ................................................................................... 64514.13.30 Legal Fees ............................................................................................................... 64514.13.31 Fines and Penalties ................................................................................................. 64514.13.32 Damage Awards and Negotiated Settlements .......................................................... 65514.13.33 Reorganization/Refinancing Costs ........................................................................... 65514.13.34 Purchases from Related Companies or Organizations ............................................. 65514.13.35 Filing Reports – Request for Assistance .................................................................. 65514.13.36 Rate Determination .................................................................................................. 65514.13.37 Cost Adjustment ...................................................................................................... 66514.13.38 Standard Services ................................................................................................... 66514.13.39 Mandated Services .................................................................................................. 66514.13.40 Nursing Services ..................................................................................................... 66514.13.41 Cost of Capital ......................................................................................................... 66514.13.42 Minimum Occupancy Standard ................................................................................ 67514.13.43 Efficiency Incentive .................................................................................................. 67514.13.44 Inflation Factor ......................................................................................................... 68514.13.45 Audits ...................................................................................................................... 68514.13.46 Document/Desk Review........................................................................................... 68Department of Health and Human Resources Chapter 514: Nursing Facility Services Page 5January 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.
514.13.47 Field Audit ............................................................................................................... 68514.13.48 Records Retention ................................................................................................... 68514.13.49 Credits and Adjustments .......................................................................................... 69514.14 Certified Nurse Aide Training Reimbursement ......................................................... 69514.15 Mountain Health Choices ........................................................................................ 69Appendix 1: Agreement for Nursing Facility Participation in the Title XIX Medicaid ProgramAppendix 2: Pre-Admission Screening (PAS) 2000Appendix 3: Invoice for Reimbursement of Nurse Aide Training and Competency EvaluationDepartment of Health and Human Resources Chapter 514: Nursing Facility Services Page 6January 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.
Page 1 and 2: CHAPTER 514 - COVERED SERVICES, LIM
Page 3 and 4: 514.4.11 Services Provided by Outsi
Page 5: 514.10.4 Podiatry Services ........
Page 9 and 10: in the balance as part of the proce
Page 11 and 12: Minimum Data Set (MDS) - a core set
Page 13 and 14: eimbursement and annually thereafte
Page 15 and 16: A change in ownership of a nursing
Page 17 and 18: The Commissioner, in his or her dis
Page 19 and 20: 514.3.2 Civil Money Penalty (CMP)A
Page 21 and 22: Employment of an individual with on
Page 23 and 24: 514.4.7 Administrative PoliciesThe
Page 25 and 26: The agreement / contract must clear
Page 27 and 28: Where residents are in a nursing fa
Page 29 and 30: 514.5.10 Food and Dietary DirectorI
Page 31 and 32: #27: Individual has skilled needs i
Page 33 and 34: evaluator. All Level II evaluators
Page 35 and 36: It is the responsibility of the nur
Page 37 and 38: abuse and controlled drugs as ident
Page 39 and 40: 514.8.1 Nursing ServicesCovered ser
Page 41 and 42: Upon transfer to another nursing fa
Page 43 and 44: 514.9.2 Transfer and Discharge Poli
Page 45 and 46: the resident’s physical condition
Page 47 and 48: 514.9.10 Conveyance Upon DischargeU
Page 49 and 50: 514.10.6 Emergency Ambulance Transp
Page 51 and 52: 514.10.8 Documentation Requirements
Page 53 and 54: certification must include document
Page 55 and 56: It is not mandatory for providers t
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ownership and control has occurred
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The standard hours PPD, by bed grou
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The Model Nursing Facility Standard
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Starting with its total costs, incl
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eimbursable. For example: if a faci
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514.13.37 Cost AdjustmentReported f
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If it has been determined that a fa
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CHAPTER 514NURSING FACILITY SERVICE
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Changes in Ownership, either in par
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CHAPTER 514NURSING FACILITY SERVICE
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II. MEDICAL ASSESSMENTDate ________
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III. MI/MR ASSESSMENTDATE: ________
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V. ELIGIBILITY DETERMINATION DATE:
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West Virginia Department of Health
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