1. (2) The Medi-Cal proportional share of the pass-through per diem costs shall be calculated as the facility actual allowable Medi-Cal cost as reported on the facility's most recent available cost report, as adjusted for audit findings.

2. (b) The Department shall calculate the daily costs of the property tax pass through by dividing property tax costs by total resident days.

   1. (1) The Department shall update the property tax pass-through costs at the rate of 2 percent annually.
   2. (2) Each facility's property tax costs shall be increased from the mid-point of the cost reporting period to the mid-point of the rate year.
3. (c) The Department shall calculate the daily direct pass-through costs for facility license fees by multiplying the current annual fee by the number of licensed facility beds and then dividing that product by total resident days.

4. (d) The Department shall calculate the daily direct pass through costs for care giver training by dividing care giver training costs by total resident days.

   1. (1) The Department shall apply the California Consumer Price Index for All-Urban Consumers to allowable care giver training costs.
   2. (2) Each facility's care giver training costs shall be increased from the mid-point of the cost reporting period to the mid-point of the rate year.

(a)(1) Direct pass-through costs are comprised of proportional Medi-Cal costs for property taxes, facility license fees, caregiver training costs, the Medi-Cal portion of the facility quality assurance fee, and new state and federal mandates for the applicable rate year.

Note: Authority cited: Sections 20, 1324.20, 1324.21 and 1324.23, Health and Safety Code; and Sections 10725, 14105, 14124.5 and 14126.027, Welfare and Institutions Code. Reference: Sections 14105, 14109.5, 14110.1, 14110.6, 14170 and 14171, Welfare and Institutions Code.

History

1. New section filed 7-22-2010 as an emergency; operative 7-22-2010 (Register 2010, No. 30). A Certificate of Compliance must be transmitted to OAL by 1-18-2011 or emergency language will be repealed by operation of law on the following day. Any rules issued by provider bulletin by the Department of Health Care Services that are covered by or inconsistent with these emergency regulations are superseded as of the effective date of these emergency regulations.

2. New section refiled 1-10-2011 as an emergency, including amendment of subsection (a)(1) and repealer of subsections (e)-(e)(3)(J); operative 1-18-2011 (Register 2011, No. 2). A Certificate of Compliance must be transmitted to OAL by 4-18-2011 or emergency language will be repealed by operation of law on the following day. Any rules issued by provider bulletin by the Department of Health Care Services that are covered by or inconsistent with these emergency regulations are superseded as of the effective date of these emergency regulations.

3. Certificate of Compliance as to 1-10-2011 order transmitted to OAL 4-5-2011 and filed 5-17-2011 (Register 2011, No. 20).