Total Payment Rate

Subdivision 1. Total payment rates. For each facility, the commissioner shall calculate a total payment rate using the statistical and cost report filed by each nursing facility for the reporting period ending 15 months prior to the rate year. The total payment rates are the total payment rates in effect on the first day of the rate year, unless another date is specified. Subd. 2. Determination of total care-related payment rates. A facility's total care-related payment rate is the sum of: (1) its direct care payment rate as determined in section 256R.23, subdivision 7; and (2) its other care-related payment rate as determined in section 256R.23, subdivision 8. A facility's total care-related payment rate is its total care-related payment rate associated with a case mix index of 1.00. Subd. 3. Determination of operating payment rates. A facility's operating payment rate is the sum of: (1) its total care-related payment rate as determined in subdivision 2; and (2) its other operating payment rate as determined in section 256R.24. A facility's operating payment rate is its operating payment rate associated with a case mix index of 1.00. Subd. 4. Determination of total payment rates. A facility's total payment rate is the sum of: (1) its operating payment rate as determined in subdivision 3; (2) its external fixed costs payment rate as determined in section 256R.25; and (3) its property payment rate as determined in section 256R.26. A facility's total payment rate is its total payment rate associated with a case mix index of 1.00. Subd. 5. Total payment rate for new facilities. For a new nursing facility created under section 144A.071, subdivisions 2 and 3, the total payment rate must be determined according to section 256R.27.