Section 454.1. Case-Mix Rates for Nursing Facilities.--(a) From money appropriated for medical assistance long-term living under the act of August 3, 2023 (P.L.471, No.1A), known as the General Appropriation Act of 2023, for fiscal year 2023-2024, the department shall calculate each nursing facility's case-mix rate based on the cost database and peer group prices for each net operating cost center used in the calculation of each nursing facility's case-mix for fiscal year 2022-2023. Each nursing facility's case-mix rate shall be adjusted quarterly in accordance with 55 Pa. Code § 1187.96(a)(5) (relating to price- and rate-setting computations).
(b) From money appropriated for medical assistance Community HealthChoices under the General Appropriation Act of 2023, for fiscal year 2023-2024, the department shall calculate each nursing facility's case-mix rate based on the cost database and peer group prices for each net operating cost center used in the calculation of each nursing facility's case-mix for fiscal year 2022-2023. Each nursing facility's case-mix rate shall be adjusted quarterly in accordance with 55 Pa. Code § 1187.96(a)(5).
(454.1 added Oct. 23, 2023, P.L.63, No.15)