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12/6/2019 Statutes & Constitution :View Statutes : Online Sunshine (b) Subject to any limitations or directions in the General Appropriations Act, the agency shalt establish and implement a state Title XiX Long -Term Care Reimbursement Plan for nursing home care in order to provide care and services in conformance with the applicable state and federal laws, rules, regulations, and quatity and.safety standards and to ensure that individuals eligible for medical assistance have reasonable geographic access to such care. 1. The agency shall amend the long-term care reimbursement plan and cost reporting system to create direct care and indirect care subcomponents of the patient care component of the per diem rate. These two subcomponents, together shalt equal the patient care component of the per diem rate. Separate prices shalt be calculated for each patient care subcomponent, initially based on the September 2016 rate setting cost reports and subsequently based on the most recently audited cost report used during a rebasing year. The direct care subcomponent of the per diem rate for any providers still being reimbursed on a cost basis shalt be limited by the cost -based class ceiling, and the indirect care subcomponent may be limited by the tower of the cost -based class ceiling, the target rate class ceiling, or the individual provider target. The ceilings and targets apply only to providers being reimbursed on a cost -based system. Effective October 1, 2018, a prospective payment methodology shalt be implemented for rate setting purposes with the following parameters: a. Peer Groups, including: (1) North-SMMC Regions 1-9, less Palm Beach and Okeechobee Counties; and (11) South-SMMC Regions 10-11, plus Palm Beach and Okeechobee Counties. b. Percentage of Median Costs based on the cost reports used for September 2016 rate setting: (1) Direct Care Costs, . . . . . . . . . 100 percent. (11) Indirect Care Costs. . . . . . . , , . 92 percent. (111) Operating Costs. . . . . . . . . . 86 percent. c. Ftoors: (1) Direct Care Component. . , . . . . . . 95 percent. (II) Indirect Care Component. . . . . . . . . . 92.5 percent. (Ili) Operating Component. . . . , . . . . None. d. Pass-through Payments. . . . . . . . . . Real Estate and Personal Property Taxes and Property Insurance. e. Quality Incentive Program Payment Pool. . . . . . . . . . 6.5 percent of September 2016 non -property related payments of included facilities. f, Quatity Score Threshold to Quality for Quatity Incentive Payment. . . . . . . . . . 20th percentite of included facilities. g. Fair Rental Value System. Payment Parameters: (1) Building Value per Square Foot based on 2018 RS Means. (II) Land Valuation. . . . . . . . . . 10 percent of Gross Building value. (111) Facility Square Footage. . . . , . . . . . Actual Square Footage. (IV) Moveable Equipment Allowance. . . . . . . . $8,000 per bed. (V) Obsolescence Factor. . . . . . . . . , 1.5 percent. (Vi) Fair Rentat Rate of Return. . . . . . . . . 8 percent. (VII) Minimum Occupancy. . . . . . . . . 90 percent. (VIII) Maximum Facility Age. . . . . . . . . . 40 years. (iX) Minimum Square Footage per Bed. . . . . . . . . . 350. (X) Maximum Square Footage for Bed. 500. (XI) Minimum Cost of a renovation/replacements. . . . . . . . $500 per bed, h. Ventilator Supplemental payment of $200 per Medicaid day of 40,000 ventilator Medicaid days per fiscal year. 219 www.leg.state.fl.us/statutes%index.cfm?App_mode=Display_Statute&URL=0400-0499/0409/Sections/0409.908.html 4112