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MDH LTC Issues Committee
Legislative UpdateJuly 24, 2007
Bob Held
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Legislative Update
• COLA• Quality Add-On• Rebasing• Case Mix Indices• Moratorium Exception funding• Sprinklers • Technical and limited applicability
provisions
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COLA 2007
• 1.87% effective 10/1/2007
• 75% for compensation related costs
• 2/3 of that for equal percent wage increase
• Application required
• Union issues
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Quality Add-On
• Up to 0.3% effective 10/1/2007• Average will be 0.13%• Measures to be used
– Quality of life – 20%– MN quality indicators – 35%– Direct care staffing level – 10%– Direct care staff retention – 20%– Pool usage – 5%– MDH certification findings – 10%
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Moratorium Exceptions
• Authority to approve projects with annual MA cost up to $3 million
• Additional money available from cancelled or expired projects approved earlier
• New criteria – demonstrated continuing need for nursing home in community
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Rebasing
• Categories – operating, external fixed, property• Cost based for operating• Limits
– Care related – 120% of median for peer group and facility type
– Other operating – 105% of median for peer group
• Efficiency incentive• Phase-in of operating over 8 years• Hold harmless• Quality
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Case Mix Indices
• Staff time measurement study completed in about 2004
• How to implement?– Budget neutral– Hold harmless
• Incorporated into rebasing
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Sprinklers
• $2.5 million appropriated
• Sprinkler system only
• Applications were due July 2
• Equal discount if cost of requests exceeds money available
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Technical and limited applicability provisions
• COLA 06-07
• PERA
• Property
• LTC Consultation
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Questions?
Robert HeldNursing Facility Rates and Policy Division
MN Department of Human ServicesPO Box 64973
St. Paul MN 55164-0973
Located at 540 Cedar St. in downtown St. Paul
Voice 651-431-2261 Fax 651-431-7415 [email protected]