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ARSD 67:16:04 – Nursing Facility Rate Setting | Midpage
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Administrative Rules of South Dakota
Title 67
67:16
Chapter 67:16:04
ARSD 67:16:04
Nursing Facility Rate Setting
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Definitions.
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Required financial reports.
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Deadline extensions.
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Record retention.
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Audits -- Appeal provisions.
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Time limits for requesting hearing.
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Notification of per diem rates.
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Absence of regulations -- Allowable costs based on CMS-15.
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Routine services.
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Nonroutine services.
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Allowable costs of related-party transactions.
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Rent paid to related-party organization not allowable -- Cost of ownership used.
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Depreciation.
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Costs not allowed.
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Occupancy.
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Return on net equity.
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Ceilings.
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Maximum capital cost for leased facility.
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Method of establishing per diem rates.
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Method of establishing per diem rates -- Case mix adjusted direct care costs.
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Method of establishing per diem rates -- Nondirect care costs of health and subsistence, plant/operational, and other operating costs.
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Method of establishing per diem rates -- Nondirect care costs of administration.
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Provisional per diem rates.
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Per diem rates as payment in full.
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Per diem rate -- Existing facility experiencing new operational ownership.
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Facility's average per diem charge.
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Basis of payment.
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Preadmission screening.
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Medicare Provider Reimbursement Manual.