1. A. Reimbursement for skilled nursing facility or intermediate care (swing bed) facility services will be limited to the lesser of covered billed charges or the per diem amount.

   1. 1. The uniform statewide per diem rates will be applied to inpatient days by type of facility, either hospital-based or freestanding.

   2. 2. The reimbursement amount will be reduced by charges for noncovered items and services.

      Per Diem Rate Schedules
      	Skilled Nursing Facility
      Hospital Based	$294
      Freestanding	$ 69
      	Intermediate Care Facility
      Hospital Based	$224
      Freestanding	$ 63

   3. 3. Using the above per diems, the formula for calculating payment amount is the same as that for inpatient hospital services found in §2505.B.1.

Authority Note

AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.

Historical Note

HISTORICAL NOTE: Promulgated by the Department of Labor, Office of Workers' Compensation, LR 19:54 (January 1993), repromulgated LR 19:212 (February 1993), amended LR 20:1299 (November 1994).