- (a) The Department will use the PDPM nursing component to adjust payment for resident care services based on the case-mix classification of nursing facility residents.
- (b) Each resident shall be included in the PDPM nursing component and assigned into the first case-mix group for which the resident meets the criteria. Each resident will qualify for only one case-mix group.
- (c) {Reserved}.
- (d) The Department will announce, by notice submitted for recommended publication in the Pennsylvania Bulletin and suggested codification in the Pennsylvania Code as Appendix D, the PDPM nursing component case-mix group and PDPM CMI scores.
- (e) The PDPM CMI scores will remain in effect until a subsequent notice is published in the Pennsylvania Bulletin.
- (f) Resident data for PDPM nursing component classification purposes shall be reported by each nursing facility under § 1187.33 (relating to resident data and picture date reporting requirements).
Authority
The provisions of this § 1187.92 amended under sections 201(2), 403(b) and 443.1(7) of the Human Services Code (62 P.S. § § 201(2), 403(b) and 443.1(7)).
Source
The provisions of this § 1187.92 amended August 1, 2025, effective August 2, 2025, 55 Pa.B. 5119. Immediately preceding text appears at serial page (381342).