SEC. 43-13-122. Division authorized to apply for federal, private and public waivers, grants and contributions; implementation of integrated case-mix payment and quality monitoring system.
(1) The division is authorized to apply to the Health Care Financing Administration of the U.S. Department of Health and Human Services for waivers and research and demonstration grants in the following programs:
A multistate demonstration integrating case-mix payment and quality monitoring system in nursing facilities grant to develop and implement a resident assessment and a quality monitoring system and a nursing facility reimbursement plan based on case-mix. This subsection authorizes only the participation by the division in the demonstration described herein.
(2) The division shall implement the integrated case-mix payment and quality monitoring system developed in subsection (1) of this section, which includes the fair rental system for property costs and in which recapture of depreciation is eliminated. The division may revise the reimbursement methodology for the case-mix payment system by reducing payment for hospital leave and therapeutic home leave days to the lowest case mix category for nursing facilities, modifying the current method of scoring residents so that only services provided at the nursing facility are considered in calculating a facility's per diem, and the division may limit administrative and operating costs, but in no case shall these costs be less than one hundred nine percent (109%) of the median administrative and operating costs for each class of facility, not to exceed the median used to calculate the nursing facility reimbursement for fiscal year 1996, to be applied uniformly to all long-term care facilities. This subsection (2) shall stand repealed on July 1, 1997.
(3) The division is further authorized to accept and expend any grants, donations or contributions from any public or private organization together with any additional federal matching funds that may accrue and including, but not limited to, one hundred percent (100%) federal grant funds or funds from any governmental entity or instrumentality thereof in furthering the purposes and objectives of the Mississippi Medicaid Program, provided that such receipts and expenditures are reported and otherwise handled in accordance with the General Fund Stabilization Act. The Department of Finance and Administration is authorized to transfer monies to the division from special funds in the State Treasury in amounts not exceeding the amounts authorized in the appropriation to the division.
SOURCES: Laws, 1989, ch. 527, Sec. 6; 1990, ch. 548, Sec. 3; 1991, ch. 612, Sec. 3; 1993, ch. 609, Sec. 5, eff from and after July 1, 1993. Laws, 1994, ch. 649, Sec. 5; 1995, ch. 614, Sec. 4; 1996, ch. 518, Sec. 2, eff from and after July 1, 1996, ch. 518, § 2; Laws, 2000, ch. 301, § 10, eff from and after July 1, 1999.