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MDH LTC Issues Committee Legislative Update July 24, 2007 Bob Held

MDH LTC Issues Committee Legislative Update July 24, 2007 Bob Held. Legislative Update. COLA Quality Add-On Rebasing Case Mix Indices Moratorium Exception funding Sprinklers Technical and limited applicability provisions. COLA 2007. 1.87% effective 10/1/2007

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MDH LTC Issues Committee Legislative Update July 24, 2007 Bob Held

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  1. MDH LTC Issues Committee Legislative Update July 24, 2007 Bob Held

  2. Legislative Update • COLA • Quality Add-On • Rebasing • Case Mix Indices • Moratorium Exception funding • Sprinklers • Technical and limited applicability provisions

  3. 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

  4. 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%

  5. 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

  6. 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

  7. Case Mix Indices • Staff time measurement study completed in about 2004 • How to implement? • Budget neutral • Hold harmless • Incorporated into rebasing

  8. Sprinklers • $2.5 million appropriated • Sprinkler system only • Applications were due July 2 • Equal discount if cost of requests exceeds money available

  9. Technical and limited applicability provisions • COLA 06-07 • PERA • Property • LTC Consultation

  10. Questions? Robert Held Nursing Facility Rates and Policy Division MN Department of Human Services PO Box 64973 St. Paul MN 55164-0973 Located at 540 Cedar St. in downtown St. Paul Voice 651-431-2261 Fax 651-431-7415 robert.held@state.mn.us

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