TITLE 1.ADMINISTRATION

Part 15. TEXAS HEALTH AND HUMAN SERVICES COMMISSION

Chapter 351. COORDINATED PLANNING AND DELIVERY OF HEALTH AND HUMAN SERVICES

1 TAC §351.20

The Health and Human Services Commission (HHSC) adopts new §351.20, setting forth new requirements in utilizing certified promotoras to provide health education and outreach services to Medicaid recipients. New §351.20 is adopted without changes to the proposed text as published in the November 8, 2002, issue of the Texas Register (27 TexReg 10524) and will not be republished.

The adopted section was developed as a result of Senate Bill 751 which was passed by the 77th Texas Legislature which requires health and human services agencies to use certified promotoras to the extent possible in health outreach and education programs for recipients of medical assistance under Chapter 32, Human Resources Code.

HHSC received no comments regarding adoption of the new section.

The new section is adopted under §531.033, Government Code, which provides the commissioner of HHSC with broad rulemaking authority; and the Human Resources Code §32.021, and the Texas Government Code §531.021(a), which provides the Health and Human Services Commission (HHSC) with the authority to administer the federal medical assistance (Medicaid) program in Texas.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on December 20, 2002.

TRD-200208426

Steve Aragón

General Counsel

Texas Health and Human Services Commission

Effective date: January 9, 2003

Proposal publication date: November 8, 2002

For further information, please call: (512) 424-6756


Chapter 355. MEDICAID REIMBURSEMENT RATES

Subchapter C. REIMBURSEMENT METHODOLOGY FOR NURSING FACILITIES

1 TAC §355.308

The Texas Health and Human Services Commission (HHSC) adopts an amendment to §355.308, with changes to the proposed text published in the August 30, 2002, issue of the Texas Register (27 TexReg 8070).

Justification for the amendment is to ensure that direct care staff only are included in the direct care staff cost center. To this end, the amendment specifies that assistant administrators cannot be included in the direct care staff cost center. Because it is necessary to receive the enrollment contract amendments by the deadline, the amendment clarifies how the enrollment deadline is handled when the deadline falls on a holiday or weekend and that enrollment contract amendments will not be accepted if received after the deadline. Since reinvestment payments are calculated based on the Staffing and Compensation Reports submitted by the provider, the rule specifies that eligibility for reinvestment is contingent on the receipt of an acceptable report. Since compliance with the spending requirement is determined from annual Staffing and Compensation Reports, the rules specify that for providers with multiple facilities requesting to aggregate their costs for this determination, the request to aggregate must be received along with the report. When a facility terminates its contract after the end of the rate year but before compliance with the spending requirements is determined for the rate year, the facility is not eligible to be included in any aggregate spending calculation for the rate year. The facility is not eligible because its spending requirement is determined upon receipt of its final Staffing and Compensation report, which will have been received prior to the calculation of the aggregate spending calculation. Since the spending requirement is determined based on the Staffing and Compensation Report submitted by the provider, the spending requirement cannot be determined until the report is received. Therefore, the rule establishes a 10% recoupment on the direct care rate for facilities that do not file an acceptable report within 60 days of the due date. This recoupment is returned to the provider upon receipt of the report and settlement of any recoupment. To allow more time to adjust to the incentives in the Enhanced Direct Care Staff Rate, an increase in the spending requirement scheduled to be implemented September 1, 2002, was removed. In an attempt to reduce the number of providers requesting higher levels of enhanced rates than they can achieve, limitations are placed on enrollment for facilities that miss their staffing requirement by four or more levels. To allow facilities that staffed higher than their required staffing to receive reinvested funds, the requirement that a facility must have requested a higher level of enhancement than the level they were awarded in order to qualify for reinvestment was removed. To allow new owners of facilities to increase staffing in their facilities, the rule allows new owners of existing facilities to request a higher enhancement level than the enhancement level inherited from the previous owner. The award of these higher enhancements is limited to available funds. To receive the performance-based mitigation a performance weight must exist. Therefore, facilities whose contracts are terminated prior to the calculation of the performance weights needed in the calculation of the performance-based mitigation of the spending requirement are not eligible for the performance- based mitigation. All of these changes advance the goals of increasing staffing and pay for direct care staff and more equitably distributing limited funds to providers participating in the enhancement program.

Section 355.308(m)(2)(B) has been revised to clarify that, in addition to applying the steps outlined in §355.308(m)(2)(B)(i)-(vi) when the number of unadjusted LVN-equivalent minutes is less than the number of minutes required but greater than the minimum required LVN- equivalent minutes, these steps are performed when the number of unadjusted LVN-equivalent minutes maintained is equal to the minimum required LVN-equivalent minutes.

HHSC received written comments from the Texas Health Care Association. A summary of the comments and the commission's responses follow.

Comment: Concerning §355.308(a)(7), we suggest allowing assistant administrators in facilities with 80 or fewer licensed beds to be considered as direct care staff as long as: (1) the direct care staff hours and pay can be documented, (2) care is provided by staff certified as the nurse aide, and (3) a differential in pay exists between job functions.

Response: Assistant administrators are hired to provide administrative and supervisory support to the nursing facility. The enhancement program is intended to increase the staffing and pay of direct care staff of the facility that are hired for that purpose. To reclassify the assistant administrator as direct care staff for the purposes of the enhancement program is in opposition to the intent of the enhanced payment rates. If facilities want to receive enhanced payment rates, they must hire additional direct care staff or increase the wages paid to direct care staff. HHSC adopts this paragraph without change.

Comment: Concerning §355.308(f)(3), we suggest either lowering the recoupment factor to five percent or phasing in the recoupment over a series of months.

Response: Providers are given 60 days to complete a Staffing and Compensation Report. This rule specifies that if the report is not received within 60 days of the due date then 10% of the direct care payments made to the facility can be recouped until an acceptable report is received. Since this report is required to determine if the 85% spending requirement is met, a repayment of 10% of the 15% the facility is not required to spend is reasonable. When the provider submits an acceptable report the recouped funds will be restored. If the facility never submits an acceptable report, then HHSC can recover some of the possible overpayment to the facility. HHSC adopts this paragraph without change.

Comment: Concerning §355.308(f)(4), we suggest changing the proposed rule to allow a provider-initiated amended accountability report to be submitted within a reasonable time period following notification of potential recoupment.

Response: The rule proposal specifies the deadline for submitting an amended Staffing and Compensation Report. The provider has an additional opportunity to submit verifiable changes to its Staffing and Compensation Report during the informal review process outlined in §355.110 of this title (relating to Informal Reviews and Formal Appeals). The date of the letter notifying the facility of its compliance with spending and/or staffing requirements begins the timeframe for the informal review process. The timeframe for facilities to submit changes to the Staffing and Compensation Report under the informal review process was recently extended. HHSC adopts this paragraph without change.

Comment: Concerning §355.308(n)(2), we recommend that providers start with a clean "slate" each annual election period, regardless of the facility's staffing performance.

Response: This limitation was proposed in order to more equitably distribute limited funds to providers participating in the enhancement program that have proven that they spent the enhancement funds that they were given on either direct care staffing or spending. To allow a facility to continue to receive increased enhanced funds when the facility has failed, by a large margin, to spend the funds it was given on direct care staffing or spending would in effect limit the funds to those facilities that are spending the funds as intended. HHSC adopts this paragraph without change.

Comment: Concerning §355.308(p), we request the establishment of an additional mitigation component that recognizes ancillary types of expenses.

Response: This comment does not address the proposed changes to this rule subsection. HHSC adopts this subsection without changes.

Comment: Concerning §355.308(y), we request clarification that new ownership can opt a previously non-participating facility into the enhancement program and allow a one-time, 90 day retroactive application of this rule to account for changes of ownership that are currently being considered.

Response: HHSC agrees, and has clarified that the new owner may request to become a participant. The language has also changed to specify that the effective date for the change in enhancement level, if granted, is the effective date of the ownership change, which can be retroactive 90 days or longer depending on the circumstances. In addition, the language has changed to clarify that if the change of ownership occurs during an open enrollment period as defined in subsection (c) of this section, then the owner recognized by DHS on the last day of the enrollment period may request to modify the enrollment status of the facility in accordance with subsection (d) of this section.

Comment: Concerning §355.308(aa), we suggest using a prorated basis for including facilities that change ownership into aggregate spending requirement calculations.

Response: Because facilities that change ownership have their vendor funds held until an acceptable Staffing and Compensation Report is received and any recoupments are made, it is necessary that the state act on processing the report and recoup funds as promptly as possible so that the vendor hold can be released. These ownership changes can occur throughout the rate year, which would prolong the hold on the vendor payments from six to16 months while waiting to aggregate the report with the other annual Staffing and Compensation Reports submitted by the provider. HHSC adopts this subsection without change.

Comment: Concerning §355.308(cc), we propose that funds recouped through the spending floor should be funneled back into the base reimbursement rate for participating and non-participating facilities through some type of modest inflationary increase. Funds recouped through missed staffing targets, on the other hand, should be redistributed to facilities that staffed at levels higher than they were reimbursed.

Response: This comment does not address the proposed changes to this rule subsection. HHSC adopts this subsection without changes.

Additional comments were received that did not pertain to the rule proposal.

In addition to the changes indicated above, HHSC made minor editorial changes to the rule in order to improve clarity and understanding.

The amendment is adopted under the Texas Government Code, §531.033, which authorizes the commissioner of the Texas Health and Human Services Commission to adopt rules necessary to carry out the commission's duties, and §531.021(b), which establishes the commission as the agency responsible for adopting reasonable rules governing the determination of fees, charges, and rates for medical assistance payments under Chapter 32, Human Resources Code.

The amendment implements the Government Code, §§531.033 and 531.021(b).

§355.308.Enhanced Direct Care Staff Rate.

(a) Direct care staff cost center. This cost center will include compensation for employee and contract labor Registered Nurses (RNs), including Directors of Nursing (DONs) and Assistant Directors of Nursing (ADONs); Licensed Vocational Nurses (LVNs), including DONs and ADONs; medication aides; and nurse aides performing nursing-related duties for Medicaid contracted beds.

(1) Compensation to be included for these employee staff types is the allowable compensation defined in §355.103(b)(1) of this title (relating to Specifications for Allowable and Unallowable Costs) that is reported as either salaries and/or wages (including payroll taxes and workers' compensation) or employee benefits. Benefits required by §355.103(b)(1)(A)(iii) of this title (relating to Specifications for Allowable and Unallowable Costs) to be reported as costs applicable to specific cost report line items are not to be included in this cost center.

(2) Direct care staff who also have administrative duties not related to nursing must properly direct charge their compensation to each type of function performed based upon daily time sheets maintained throughout the entire reporting period.

(3) Nurse aides must meet the qualifications enumerated under 40 TAC §94.3 (relating to Facility Requirements) to be included in this cost center. Nurse aides include Certified nurse aides and nurse aides in training as per 40 TAC §94.4(c) (relating to Facility Requirements).

(4) Contract labor refers to personnel for whom the contracted provider is not responsible for the payment of payroll taxes (such as FICA, Medicare, and federal and state unemployment insurance) and who perform tasks routinely performed by employees. Allowable contract labor costs are defined in §355.103(b)(2)(C) of this title (relating to Specifications for Allowable and Unallowable Costs).

(5) For facilities receiving supplemental reimbursement for children with tracheostomies requiring daily care as described in §355.307(b)(3)(F) of this title (relating to Reimbursement Setting Methodology), staff required by 40 TAC §19.901(14)(C)(iii) (relating to Quality of Care) performing nursing-related duties for Medicaid contracted beds are included in the direct care staff cost center.

(6) For facilities receiving supplemental reimbursement for qualifying ventilator-dependent residents as described in §355.307(b)(3)(E) of this title (relating to Reimbursement Setting Methodology), Registered Respiratory Therapists and Certified Respiratory Therapy Technicians are included in the direct care staff cost center.

(7) Nursing facility administrators and assistant administrators are not included in the direct care staff cost center.

(8) Staff members performing more than one function in a facility without a differential in pay between functions are categorized at the highest level of licensure or certification they possess. If this highest level of licensure or certification is not that of an RN, LVN, medication aide, or certified nurse aide, the staff member is not to be included in the direct care staff cost center but rather in the cost center where staff members with that licensure or certification status are typically reported.

(b) Rate year. The standard rate year begins on the first day of September and ends on the last day of August of the following year.

(c) Open enrollment. Open enrollment will begin on the first day of July and end on the last day of that same July preceding the rate year for which payments are being determined unless the Texas Health and Human Services Commission (HHSC) notified providers prior to the first day of July that that open enrollment has been postponed or cancelled. Should conditions warrant, HHSC may conduct additional enrollment periods during a rate year.

(d) Enrollment contract amendment. An initial enrollment contract amendment is required from each facility choosing to participate in the enhanced direct care staff rate. Participating and nonparticipating facilities may request to modify their enrollment status (i.e., a nonparticipant can request to become a participant, a participant can request to become a nonparticipant, a participant can request to change its enhancement level) during any open enrollment period. Requests to modify a facility's enrollment status during an open enrollment period must be received by HHSC Rate Analysis by the last day of the open enrollment period as per subsection (c) of this section. If the last day of the open enrollment period falls on a weekend, a national holiday, or a state holiday, then the first business day following the last day of the open enrollment period is the final day the receipt of the enrollment contract amendment will be accepted. An enrollment contract amendment that is not received by the stated deadline will not be accepted. Facilities from which HHSC Rate Analysis has not received an acceptable request to modify their enrollment by the last day of the open enrollment period will continue at the level of participation in effect during the open enrollment period within available funds. To be acceptable, an enrollment contract amendment must be completed according to instructions, signed by an authorized signator as per the Texas Department of Human Services (DHS) Form 2031 applicable to the provider's contract or ownership type, and be legible.

(e) New facilities. For purposes of this section, for each rate year a new facility is defined as a facility delivering its first day of service to a DHS recipient after the first day of the open enrollment period, as defined in subsection (c) of this section, for that rate year. Facilities that underwent an ownership change are not considered new facilities. For purposes of this subsection, an acceptable enrollment contract amendment is defined as a legible enrollment contract amendment that has been completed according to instructions, signed by an authorized signator as per the DHS Form 2031 applicable to the provider's contract or ownership type, and received by HHSC within 30 days of the mailing of notification to the facility by HHSC that such an enrollment contract amendment must be submitted. New facilities will receive the direct care staff rate associated with minimum staffing requirements as determined in subsection (j)(1) of this section until:

(1) for facilities specifying their desire to participate on an acceptable enrollment contract amendment, the direct care staff rate is adjusted as specified in subsection (l)(3) of this section, effective on the first day of the month following receipt by HHSC of the acceptable enrollment contract amendment.

(2) for facilities specifying their desire not to participate on an acceptable enrollment contract amendment, the direct care staff rate is adjusted as specified in subsection (k) of this section retroactive to the first day of their contract.

(3) for facilities from which an acceptable enrollment contract amendment is not received, the direct care staff rate is adjusted as specified in subsection (k) of this section retroactive to the first day of their contract.

(f) Staffing and Compensation Report submittal requirements. Staffing and Compensation Reports must be submitted as follows:

(1) Annual Staffing and Compensation Report. All contracted facilities will provide HHSC, in a method specified by HHSC, an Annual Staffing and Compensation Report reflecting the activities of the facility while delivering contracted services from the first day of the rate year through the last day of the rate year. This report will be used as the basis for determining compliance with the staffing requirements and recoupment amounts as described in subsection (n) of this section for participants, and as the basis for determining the spending requirements and recoupment amounts as described in subsection (o) of this section for all facilities. Facilities failing to submit an acceptable Annual Staffing and Compensation Report within 60 days of the end of the rate year will be placed on vendor hold until such time as an acceptable report is received and processed by HHSC.

(A) When a facility changes ownership, the prior owner must submit a Staffing and Compensation Report covering the period from the beginning of the rate year to the date recognized by DHS as the ownership-change effective date. This report will be used as the basis for determining any recoupment amounts as described in subsections (n) and (o) of this section. The new owner will be required to submit a Staffing and Compensation Report covering the period from the day after the date recognized by DHS as the ownership-change effective date to the end of the rate year.

(B) Facilities whose contracts are terminated either voluntarily or involuntarily must submit a Staffing and Compensation Report covering the period from the beginning of the rate year to the date recognized by DHS as the contract termination date. This report will be used as the basis for determining any recoupment amounts as described in subsections (n) and (o) of this section.

(C) Participating facilities who voluntarily withdraw from participation as per subsection (r) of this section must submit a Staffing and Compensation Report within 60 days of the date of withdrawal as determined by HHSC, covering the period from the beginning of the rate year to the date of withdrawal as determined by HHSC. This report will be used as the basis for determining any recoupment amounts as described in subsections (n) and (o) of this section.

(D) Facilities whose cost report year coincides with the state of Texas fiscal year as per §355.105(b)(5) (relating to General Reporting and Documentation Requirements, Methods and Procedures) are exempt from the requirement to submit a separate Annual Staffing and Compensation Report. For these facilities, their cost report will be considered their Annual Staffing and Compensation Report.

(2) Other reports. HHSC may require other Staffing and Compensation Reports from all facilities as needed.

(3) Vendor hold. HHSC or its designee will place on hold the vendor payments for any facility that does not submit a Staffing and Compensation Report completed in accordance with all applicable rules and instructions by the due dates described in this subsection. This vendor hold will remain in effect until an acceptable Staffing and Compensation Report is received by HHSC. Facilities that do not submit a Staffing and Compensation Report completed in accordance with all applicable rules and instructions within 60 days of the due dates described in this subsection will become nonparticipants retroactive to the first day of the reporting period in question and will be subject to an immediate recoupment of 10% of direct care dollars paid to the facility for services provided during the reporting period in question. These facilities will remain nonparticipants and recouped funds will not be restored until they submit an acceptable report and repay to HHSC or its designee funds identified for recoupment from subsections (n) and/or (o) of this section. In addition, facilities with an ownership change or contract termination that do not submit a Staffing and Compensation report completed in accordance with all applicable rules within 60 days of the change in ownership or contract termination will become nonparticipants retroactive to the first day of the reporting period in question and will be subject to an immediate recoupment of 10% of direct care dollars paid to the facility for services provided during the reporting period in question. These facilities will remain nonparticipants and recouped funds will not be restored until they submit an acceptable report and repay to HHSC or its designee funds identified for recoupment from subsections (n) and/or (o) of this section.

(4) Provider-initiated amended accountability reports. Reports must be received prior to the date the provider is notified of compliance with spending and/or staffing requirements for the report in question as per subsections (n) and/or (o) of this section.

(g) Report contents. Annual Staffing and Compensation Reports will include any information required by HHSC to implement this enhanced direct care staff rate.

(h) Completion of Reports. All Staffing and Compensation Reports must be completed in accordance with the provisions of §§355.102-355.105 of this title (relating to General Principles of Allowable and Unallowable Costs, Specifications for Allowable and Unallowable Costs, Revenues, and General Reporting and Documentation Requirements, Methods, and Procedures) and may be reviewed or audited in accordance with §355.106 of this title (relating to Basic Objectives and Criteria for Audit and Desk Review of Cost Reports). Beginning with the state fiscal year 2002 report, all Staffing and Compensation Reports must be completed by preparers who have attended the required nursing facility cost report training as per §355.102(d) (relating to General Principles of Allowable and Unallowable Costs).

(i) Enrollment. Facilities choosing to participate in the enhanced direct care staff rate must submit to HHSC a signed contract amendment as described in subsection (d) of this section, before the end of the open enrollment period. Participation will remain in effect, subject to availability of funds, until the facility notifies HHSC in accordance with subsection (r) of this section that it no longer wishes to participate or the facility is removed from participation as described in subsection (n) of this section. Facilities voluntarily withdrawing from participation will have their participation end effective on the date of the withdrawal as determined by HHSC.

(j) Determination of staffing requirements for participants. Facilities choosing to participate in the enhanced direct care staff rate agree to maintain certain direct care staffing levels. In order to permit facilities the flexibility to substitute RN, LVN and aide (Medication Aide and nurse aide) staff resources and, at the same time, comply with an overall nursing staff requirement, total nursing staff requirements are expressed in terms of LVN equivalent minutes. Conversion factors to convert RN and aide minutes into LVN equivalent minutes are based upon most recently available, reliable relative compensation levels for the different staff types.

(1) Minimum staffing levels. HHSC determines, for each participating facility, minimum LVN equivalent staffing levels as follows.

(A) Determine minimum required LVN equivalent minutes per resident day of service for various types of residents using time study data, cost report information, and other appropriate data sources.

(i) Determine LVN equivalent minutes associated with Medicare residents based on the data sources from subparagraph (A) of this paragraph adjusted for estimated acuity differences between Medicare and Medicaid residents.

(ii) Determine minimum required LVN equivalent minutes per resident day of service associated with each Texas Index for Level of Effort (TILE) case mix group and additional minimum required minutes for residents reimbursed under the TILE system who also qualify for supplemental reimbursement for ventilator care or pediatric tracheostomy care as described in §355.307 of this title (relating to Reimbursement Setting Methodology) based on the data sources from subparagraph (A) of this paragraph adjusted for acuity differences between Medicare and Medicaid residents and other factors.

(B) Based on most recently available, reliable utilization data, determine for each facility the total days of service by TILE group, days of service provided to TILE residents qualifying for Medicaid supplemental reimbursement for ventilator or tracheostomy care, total days of service for Medicare Part A residents, and total days of service for all other residents.

(C) Multiply the minimum required LVN equivalent minutes for each TILE group and supplemental TILE reimbursement group from subparagraph (A) of this paragraph by the facility's Medicaid days of service in each TILE group and supplemental TILE reimbursement group from subparagraph (B) of this paragraph and sum the products.

(D) Multiply the minimum required LVN equivalent minutes for Medicare residents by the facility's Medicare Part A days of service.

(E) Effective for reporting periods beginning on or after September 1, 2001, divide the sum from subparagraph (C) of this paragraph by the facility's total Medicaid days of service, with a day of service for a Medicaid TILE recipient who also qualifies for a supplemental TILE reimbursement counted as one day of service, compare this result to the minimum required LVN-equivalent minutes for a TILE 207 and multiply the lower of the two figures by the facility's other resident days of service.

(F) Sum the results of subparagraphs (C), (D) and (E) of this paragraph, divide the sum by the facility's total days of service, with a day of service for a Medicaid TILE recipient who also qualifies for a supplemental TILE reimbursement counted as one day of service. The results of these calculations are the minimum LVN equivalent minutes per resident day a participating facility must provide.

(2) Enhanced staffing levels. Participating facilities desiring to staff above the minimum requirements from paragraph (1) of this subsection may request LVN-equivalent staffing enhancements from an array of LVN-equivalent enhanced staffing options and associated add- on payments during open enrollment.

(3) Granting of staffing enhancements. HHSC divides all requested enhancements into two groups: pre-existing enhancements that facilities request to carry over from the prior year and newly-requested enhancements. Newly-requested enhancements may be enhancements requested by facilities that were nonparticipants in the prior year or by facilities that were participants in the prior year desiring to be granted additional enhancements. For the granting of enhancements to be effective on or after September 1, 2001, for an enhancement to qualify as a pre-existing enhancement a facility must have actually met the enhancement's staffing requirements during the most recent reporting period from which reliable data is available at the time qualification is determined. Enhancements held by nursing facilities whose staffing requirements were not met during the most recent reporting period from which reliable data is available will qualify as pre-existing if the facility submitted, with that staffing report, documentation that demonstrates to the satisfaction of HHSC that the facility has been unable, despite diligent efforts (including offering wages at the community prevailing rate for nursing facilities), to recruit appropriate personnel. If the report from the subsequent rate year indicates that the staffing requirement was again not met, the unmet staffing will no longer be considered pre-existing. Using the process described herein, HHSC first determines the distribution of carry-over enhancements. If funds are available after the distribution of carry-over enhancements, HHSC then determines the distribution of newly requested enhancements. HHSC may not distribute newly requested enhancements to facilities owing funds identified for recoupment from subsections (n) and/or (o) of this section.

(A) HHSC determines projected units of service for facilities requesting each enhancement option and multiplies this number by the rate add-on associated with that enhancement as determined in subsection (l) of this section.

(B) HHSC compares the sum of the products from subparagraph (A) of this paragraph to available funds.

(i) If the product is less than or equal to available funds, all requested enhancements are granted.

(ii) If the product is greater than available funds, enhancements are granted beginning with the lowest level of enhancement and granting each successive level of enhancement until requested enhancements are granted within available funds. Based upon an examination of existing staffing levels and staffing needs, HHSC may grant certain enhancement options priority for distribution.

(4) Notification of granting of enhancements. Participating facilities are notified, in a manner determined by HHSC, as to the disposition of their request for staffing enhancements.

(k) Determination of direct care staff rates for nonparticipating facilities.

(1) Determine the sum of recipient care costs from the direct care staff cost center in subsection (a) of this section in all nursing facilities included in the Texas Nursing Facility Cost Report database used to determine the nursing facility rates in effect on January 1, 2000 (hereinafter referred to as the initial database).

(2) Adjust the sum from paragraph (1) of this subsection in order to account for inflation utilizing the inflation factors used in the determination of the nursing facility rates in effect January 1, 2000.

(3) Divide the result from paragraph (2) of this subsection by the sum of recipient days of service in all facilities in the initial database and multiply the result by 1.07. The result is the average direct care staff rate component for ineligible facilities.

(4) To calculate the direct care staff per diem rate component for nonparticipating facilities for each of the 11 TILE case mix groups and for the default group, multiply each of the standardized statewide case mix indices associated with the initial database by the average direct care staff rate component from paragraph (3) of this subsection.

(5) The direct care staff per diem rates will remain constant except as follows. For rates effective September 1, 2000, the rate derived in paragraph (3) of this subsection will be multiplied by 1.016. Effective September 1, 2001, and thereafter, the direct care staff per diem rate will remain constant except for adjustments necessitated by increases in the personal consumption expenditures (PCE) chain-type price index.

(l) Determination of direct care staff rates for participating facilities. Direct care staff rates for participating facilities as defined in subsection (i) will be determined as follows:

(1) Determine the direct care staff rate associated with maintaining LVN equivalent minutes at the minimum levels required for participation.

(A) Determine the sum of recipient care costs from the direct care staff cost center in subsection (a) in all nursing facilities as included in the initial database from subsection (k)(1) of this section.

(B) Adjust the sum from subparagraph (A) of this paragraph as specified in §355.108 of this title (relating to Determination of Inflation Indices) to inflate the costs to the prospective rate year.

(C) Divide the result from subparagraph (B) of this paragraph by the sum of recipient days of service in all facilities in the initial database from subsection (k)(1) of this section and multiply the result by 1.07. The result is the average direct care staff rate associated with maintaining LVN equivalent minutes at the minimum levels required for participation.

(D) Case mix adjustment of direct care staff per diem rate component. To calculate the direct care staff per diem rate component associated with maintaining LVN equivalent minutes at the minimum levels required for participation for each of the 11 TILE case mix groups, for the default group and for each supplemental reimbursement group, multiply each of the standardized statewide case mix indices associated with the initial database from subsection (k)(1) of this section by the average direct care staff rate component from subparagraph (C) of this paragraph.

(E) The initial database from subsection (k)(1) of this section used in determining the direct care staff rates will not change, except for adjustments for inflation from subparagraph (B) of this paragraph. HHSC may also recommend adjustments to the rates in accordance with §355.109 of this title (relating to Adjusting Reimbursement When New Legislation, Regulations, or Economic Factors Affect Costs).

(2) Determine the direct care staff rate add-on associated with each enhanced staffing level. Taking into consideration the most recently available, reliable data relating to LVN equivalent compensation levels, HHSC will determine a per diem add-on payment for each enhanced staffing level.

(3) Determine each participating facility's total direct care staff rate. Each participating facility's direct care staff rate will be equal to the direct care staff rate associated with maintaining LVN equivalent minutes at the minimum levels required for participation from paragraph (1) of this subsection plus any add-on payments associated with enhanced staffing levels selected by and awarded to the facility during open enrollment.

(m) Staffing requirements for participating facilities. Each participating facility will be required to maintain adjusted LVN-equivalent minutes equal to those determined in subsection (j) of this section. Each participating facility's adjusted LVN-equivalent minutes maintained during the reporting period will be determined as follows.

(1) Determine unadjusted LVN-equivalent minutes maintained. Upon receipt of the staffing and spending information described in subsection (f) of this section, HHSC will determine the unadjusted LVN-equivalent minutes maintained by each facility during the reporting period.

(2) Determine adjusted LVN-equivalent minutes maintained. Compare the unadjusted LVN- equivalent minutes maintained by the facility during the reporting period from paragraph (1) of this subsection to the LVN-equivalent minutes required of the facility as determined in subsection (j) of this section. The adjusted LVN-equivalent minutes are determined as follows:

(A) If the number of unadjusted LVN-equivalent minutes maintained by the facility during the reporting period is greater than or equal to the number of LVN-equivalent minutes required for the facility or less than the minimum LVN-equivalent minutes required for participation as determined in subsection (j)(1) of this section; the facility's adjusted LVN-equivalent minutes maintained is equal to its unadjusted LVN-equivalent minutes; or

(B) If the number of unadjusted LVN-equivalent minutes maintained by the facility during the reporting period is less than the number of LVN-equivalent minutes required of the facility, but greater than or equal to the minimum LVN-equivalent minutes required for participation as determined in subsection (j)(1) of this section, the following steps are performed.

(i) Determine what the facility's accrued Medicaid fee-for-service revenue for the reporting period would have been if their staffing requirement had been set at a level consistent with the highest LVN-equivalent minutes that the facility actually maintained, as defined in subsection (j) of this section.

(ii) Determine the facility's adjusted accrued revenue by multiplying the accrued revenue from clause (i) of this subparagraph by 0.85.

(iii) Determine the facility's accrued allowable Medicaid fee-for-service direct care staff expenses for the rate year.

(iv) Determine the facility's direct care spending surplus for the reporting period by subtracting the facility's adjusted accrued revenue from clause (ii) of this subparagraph from the facility's accrued allowable expenses from clause (iii) of this subparagraph.

(v) If the facility's direct care spending surplus from clause (iv) of this subparagraph is less than or equal to zero, the facility's adjusted LVN-equivalent minutes maintained is equal to the unadjusted LVN-equivalent minutes maintained as calculated in paragraph (1) of this subsection.

(vi) If the facility's direct care spending surplus from clause (iv) of this subparagraph is greater than zero, the adjusted LVN-equivalent minutes maintained by the facility during the reporting period is set equal to the facility's direct care spending surplus from clause (iv) of this subparagraph divided by the per diem enhancement add-on as determined in subsection (l)(2) of this section plus the unadjusted LVN-equivalent minutes maintained by the facility during the reporting period from paragraph (1) of this subsection according to the following formula: (Direct Care Spending Surplus / Per Diem Enhancement Add-on for One LVN-equivalent Minute) + Unadjusted LVN-equivalent Minutes.

(n) Staffing accountability. Participating facilities will be responsible for maintaining the staffing levels determined in subsection (j) of this section. HHSC will determine the adjusted LVN- equivalent minutes maintained by each facility during the reporting period by the method described in subsection (m) of this section.

(1) HHSC or its designee will recoup all direct care staff revenues associated with unmet staffing goals from participating facilities that fail to meet their staffing requirements during the reporting period.

(2) In addition, facilities that fail to maintain the required LVN-equivalent minutes by four or more adjusted LVN-equivalent minutes, and facilities required to provide at least four LVN- equivalent minutes above their minimum staffing requirement, as determined in subsection (j)(1) of this section, and that fail to meet their minimum staffing requirement, are subject to the following:

(A) Effective the first day of the rate year immediately following the determination that a facility met the qualifications detailed in paragraph (2) of this subsection, the facility will have its enrollment in the enhancement program limited to a level consistent with the highest adjusted LVN-equivalent minutes, as defined in subsection (m) of this section, that the facility actually attained plus two additional LVN-equivalent minutes. If the adjusted level attained is more than two LVN-equivalent minutes below the minimum direct care staff requirement for participation, the facility will be precluded from enrollment in the enhancement program and will be a nonparticipant. These enrollment limitations will remain in effect for the longer of either one full rate year or until the first day of the rate year that begins after funds identified for recoupment from subsections (n) and/or (o) of this section are repaid to HHSC or its designee.

(B) HHSC or its designee will collect interest from facilities that meet the qualifications of paragraph (2) of this subsection as follows:

(i) Determine the average excess funds available to the provider over the reporting period as the recoupment amount from paragraph (1) of this subsection divided by two.

(ii) Determine the annualized average three-month United States Treasury Bill rate during the provider's reporting period as the unweighted monthly average for all months included, either partially or fully, in the reporting period.

(iii) Determine the interest rate on the recoupment amount by multiplying the annualized average rate from clause (ii) of this subparagraph by the number of days in the reporting period divided by the number of days in the rate year.

(iv) Determine the interest on the recoupment amount by multiplying the recoupment interest rate calculated in clause (iii) of this subparagraph by the average excess funds available to the provider over the reporting period from clause (i) of this subparagraph.

(o) Spending requirements for all facilities. All facilities, participants and nonparticipants alike, are subject to a direct care staff spending requirement with recoupment calculated as follows:

(1) At the end of the rate year, a spending floor will be calculated by multiplying accrued Medicaid fee-for-service direct care staff revenues (net of revenues recouped by HHSC or its designee due to the failure of the facility to meet a staffing requirement as per subsection (n) of this section) by 0.85.

(2) Accrued allowable Medicaid direct care staff fee-for-service expenses for the rate year will be compared to the spending floor from paragraph (1) of this subsection. HHSC or its designee will recoup the difference between the spending floor and accrued allowable Medicaid direct care staff fee-for-service expenses from facilities whose Medicaid direct care staff spending is less than their spending floor.

(p) Mitigation of recoupment. Recoupment of funds described in subsection (o) of this section may be mitigated as follows.

(1) Dietary and Fixed Capital Mitigation. Recoupment of funds described in subsection (o) of this section may be mitigated by high dietary and/or fixed capital expenses as follows.

(A) Calculate dietary cost deficit. At the end of the facility's rate, accrued Medicaid dietary per diem revenues will be compared to accrued, allowable Medicaid dietary per diem costs. If costs are greater than revenues, the dietary per diem cost deficit will be equal to the difference between accrued, allowable Medicaid dietary per diem costs and accrued Medicaid dietary per diem revenues. If costs are less than revenues, the dietary cost deficit will be equal to zero.

(B) Calculate dietary revenue surplus. At the end of the facility's rate, accrued Medicaid dietary per diem revenues will be compared to accrued, allowable Medicaid dietary per diem costs. If revenues are greater than costs, the dietary per diem revenue surplus will be equal to the difference between accrued Medicaid dietary per diem revenues and accrued, allowable Medicaid dietary per diem costs. If revenues are less than costs, the dietary revenue surplus will be equal to zero.

(C) Calculate fixed capital cost deficit. At the end of the facility's rate year, accrued Medicaid fixed capital per diem revenues will be compared to accrued, allowable Medicaid fixed capital per diem costs as defined in §355.306(a)(2)(B) of this title (relating to Cost Finding Methodology). If costs are greater than revenues, the fixed capital cost per diem deficit will be equal to the difference between accrued, allowable Medicaid fixed capital per diem costs and accrued Medicaid fixed capital per diem revenues. If costs are less than revenues, the fixed capital cost deficit will be equal to zero. For purposes of this paragraph, fixed capital per diem costs of facilities with occupancy rates below 85% are adjusted to the cost per diem the facility would have accrued had it maintained an 85% occupancy rate throughout the rate year.

(D) Calculate fixed capital revenue surplus. At the end of the facility's rate year, accrued Medicaid fixed capital per diem revenues will be compared to accrued, allowable Medicaid fixed capital per diem costs as defined in §355.306(a)(2)(B) of this title (relating to Cost Finding Methodology). If revenues are greater than costs, the fixed capital revenue per diem surplus will be equal to the difference between accrued Medicaid fixed capital per diem revenues and accrued, allowable Medicaid fixed capital per diem costs. If revenues are less than costs, the fixed capital revenue surplus will be equal to zero. For purposes of this paragraph, fixed capital per diem costs of facilities with occupancy rates below 85% are adjusted to the cost per diem the facility would have accrued had it maintained an 85% occupancy rate throughout the rate year.

(E) Facilities with a dietary per diem cost deficit will have their dietary per diem cost deficit reduced by their fixed capital per diem revenue surplus, if any. Any remaining dietary per diem cost deficit will be capped at $2.00 per diem.

(F) Facilities with a fixed capital cost per diem deficit will have their fixed capital cost per diem deficit reduced by their dietary revenue per diem surplus, if any. Any remaining fixed capital per diem cost deficit will be capped at $2.00 per diem.

(G) Each facility's recoupment, as calculated in subsection (o) of this section, will be reduced by the sum of that facility's dietary per diem cost deficit as calculated in subparagraph (E) of this paragraph and its fixed capital per diem cost deficit as calculated in subparagraph (F) of this paragraph.

(2) Performance-based Mitigation. Recoupment of funds described in paragraph (1)(G) of this subsection will be mitigated based upon each facility's compliance with state and federal regulations as well as on the basis of resident outcomes as follows.

(A) Calculation of Performance-based Mitigation Index. Calculate the performance-based mitigation index (PMI) using the formula: PMI = (A+B) x C Where "A", "B", and "C" are the performance weights as detailed in 1 TAC §§355.309(l), (m), and (i) (relating to Performance-based Add-on Payment Methodology) for potential advantages, potential disadvantages, and regulatory compliance, respectively. The performance weights used in the calculation of the PMI will be those calculated for the service period as defined in §355.309 (relating to Performance-based Add-on Payment Methodology) that coincides with the rate year to which the recoupment described in subsection (o) of this section applies.

(B) Recoupment eligible for Performance-based Mitigation. Recoupment eligible for Performance-based Mitigation is limited to what the facility's recoupment as described in paragraph (1)(G) of this paragraph would have been if the facility had been a nonparticipant in the enhancement program during the reporting period.

(C) Calculation of Performance-based Mitigation. For each facility, multiply the PMI from subparagraph (A) of this paragraph by the recoupment eligible for Performance-based Mitigation from subparagraph (B) of this paragraph. The resulting product is the performance- based mitigation.

(D) Determination of recoupment after Performance-based Mitigation. Each facility's recoupment as calculated in paragraph (1)(G) of this subsection will be reduced by that facility's performance-based mitigation as described in subparagraph (C) of this paragraph.

(E) In cases where a responsible entity has requested to have its contracts' compliance with the spending requirements evaluated in the aggregate, performance-based mitigation will be based on the lowest PMI associated with any of its contracts.

(F) Facilities, for which a PMI cannot be calculated due to missing, invalid or unverifiable data are not eligible for performance-based mitigation. Facilities that are missing a PMI cannot be included in the group of facilities to be aggregated as defined in subsection (aa), and must have their spending requirement determined on a facility-specific basis.

(G) Facilities whose contracts are terminated, either voluntarily or involuntarily, prior to the calculation of the performance weights described in subparagraph (A) of this paragraph are not eligible for performance-based mitigation.

(q) Adjusting staffing requirements. Facilities that determine that they will not be able to meet their staffing requirements from subsection (m) of this section may request a reduction in their staffing requirements and associated rate add-on. These requests will be effective on the first day of the month following approval of the request.

(r) Voluntary withdrawal. Facilities wishing to withdraw from participation must notify HHSC in writing by certified mail. Facilities voluntarily withdrawing must remain nonparticipants for the remainder of the rate year.

(s) Notification of recoupment based on Annual Staffing and Compensation Report. Facilities will be notified, in a manner specified by HHSC, within 90 days of the due date of their Annual Staffing and Compensation Report or within 90 days of the date the report is submitted, whichever is later, of the amount to be repaid to HHSC or its designee. If a subsequent review or audit results in adjustments to the Annual Staffing and Compensation Report as described in subsection (f)(1) of this section that changes the amount to be repaid to HHSC or its designee, the facility will be notified in writing of the adjustments and the adjusted amount to be repaid. HHSC or its designee will recoup any amount owed from a facility's vendor payment(s) following the date of the notification letter.

(t) Vendor hold. Facilities required to submit a Staffing and Compensation Report due to a change of ownership or contract termination as described in subsection (f)(1)(A)-(B) of this section will have funds held as per 40 TAC §19.2308(2) (relating to Change of Ownership) until an acceptable Staffing and Compensation Report is received by HHSC and funds identified for recoupment from subsections (n) and/or (o) of this section are repaid to HHSC or its designee. HHSC or its designee will recoup any amount owed from the facility's vendor payments that are being held. In cases where funds identified for recoupment cannot be repaid from the held vendor payments, the responsible entity from subsection (x) of this section will be jointly and severally liable for any additional payment due to HHSC or its designee. Failure to repay the amount due or submit an acceptable payment plan within 60 days of notification will result in placement of a vendor hold on all DHS contracts controlled by the responsible entity and will bar the responsible entity from enacting any new contracts with DHS until repayment is made in full.

(u) Failure to document staff time and spending. Undocumented direct care staff and contract labor time and compensation costs will be disallowed and will not be used in the determination of direct care staff time and costs per unit of service.

(v) All other rate components. All other rate components will be calculated as specified in §355.307 of this title (relating to Reimbursement Setting Methodology) and will be uniform for all providers.

(w) Appeals. Subject matter of informal reviews and formal appeals is limited as per §355.110(a)(3)(B) of this title (relating to Informal Reviews and Formal Appeals).

(x) Responsible entities. The contracted provider, owner, or legal entity that received the revenue to be recouped upon is responsible for the repayment of any recoupment amount.

(y) Change of ownership. Participation in the enhanced direct care staff rate confers to the new owner as defined in 40 TAC §19.2308 (relating to Change of Ownership) when there is a change of ownership. The new owner is responsible for the reporting requirements in subsection (f) of this section for any reporting period days occurring after the change. If the change of ownership occurs during an open enrollment period as defined in subsection (c) of this section, then the owner recognized by DHS on the last day of the enrollment period may request to modify the enrollment status of the facility in accordance with subsection (d) of this section. The new owner may request to become a participant or receive a higher enhancement level than that conferred by submitting an acceptable enrollment contract amendment to HHSC. To be acceptable, the enrollment contract amendment must be received by HHSC Rate Analysis no later than 90 days from the date the new owner is notified in writing by DHS of the ownership-change effective date, be completed according to instructions, be signed by an authorized signator as per DHS Form 2031, Corporate Board of Directors Resolution, and be legible. Such requests will be granted within available funds to be effective on the ownership change effective date.

(z) Contract cancellations. If a facility's Medicaid contract is cancelled before the first day of an open enrollment period as defined in subsection (c) of this section and the facility is not granted a new contract until after the last day of the open enrollment period, participation in the enhanced direct care staff rate as it existed prior to the date when the facility's contract was cancelled will be reinstated when the facility is granted a new contract, if it remains under the same ownership.

(aa) In cases where a parent company, sole member, or governmental body controls more than one nursing facility (NF) contract, the parent company, sole member, or governmental body may request at the time each Annual Staffing and Compensation Report is submitted, in a manner prescribed by HHSC, to have its contracts' compliance with the spending requirements detailed in subsection (o) of this section for the applicable reporting period evaluated in the aggregate for all NF contracts it controlled at the end of the rate year or at the effective date of the change of ownership or termination of its last NF contract. In limited liability partnerships in which the same single general partner controls all the limited liability partnerships, that single general partner may make this request. Other such requests will be reviewed on a case-by- case basis. A new request to have compliance with spending requirements evaluated in the aggregate must be submitted for each reporting period. NF contracts that change ownership or terminate effective after the end of the applicable reporting period, but prior to the determination of compliance with spending requirements as per subsection (o) of this section, are excluded from all aggregate spending calculations. These contracts' compliance with spending requirements will be determined on an individual basis and the costs and revenues will not be included in the aggregate spending calculation.

(bb) Medicaid Swing Bed Program for Rural Hospitals. When a rural hospital participating in the Medicaid swing bed program furnishes NF nursing care to a Medicaid recipient under 40 TAC §19.2326 (relating to Medicaid Swing Bed Program for Rural Hospitals), DHS makes payment to the hospital using the same procedures, the same case-mix methodology and the same TILE rates that HHSC authorizes for reimbursing NFs participating in the enhanced direct care staff rate at the minimum level required for participation. These hospitals are not subject to the staffing and spending requirements detailed in this section.

(cc) Reinvestment. HHSC will reinvest recouped funds in the enhanced direct care staff rate program, to the extent that there are qualifying facilities.

(1) Identify qualifying facilities. Facilities meeting the following criteria during the most recent completed reporting period are qualifying facilities for reinvestment purposes.

(A) The facility was a participant in the enhanced direct care staff rate.

(B) The facility's unadjusted LVN-equivalent minutes as determined in subsection (m)(1) of this section were greater than the number of LVN-minutes required of the facility as determined in subsection (j) of this section.

(C) The facility met its spending requirement as determined in subsection (o) of this section.

(D) An acceptable Annual Staffing and Compensation Report for the reporting period was received by HHSC Rate Analysis at least 30 days prior to the date distribution of available reinvestment funds was determined.

(2) Distribution of available reinvestment funds. Available funds are distributed as described below.

(A) HHSC determines units of service provided during the most recent completed reporting period by each qualifying facility achieving, with unadjusted LVN-equivalent minutes as determined in subsection (m)(1) of this section, each enhancement option above the enhancement option awarded to the facility during the reporting period and multiplies this number by the rate add-on associated with that enhancement in effect during the reporting period.

(B) HHSC compares the sum of the products from subparagraph (A) of this paragraph to funds available for reinvestment.

(i) If the product is less than or equal to available funds, all achieved enhancements for qualifying facilities are retroactively awarded for the reporting period.

(ii) If the product is greater than available funds, retroactive enhancements are granted beginning with the lowest level of enhancement and granting each successive level of enhancement until achieved enhancements are granted within available funds.

(3) All retroactive enhancements are subject to spending requirements detailed in subsection (o) of this section. Revenue from retroactive enhancements is not eligible for mitigation of spending recoupment as described in subsection (p) of this section.

(4) Retroactively awarded enhancements do not qualify as pre-existing enhancements for enrollment purposes.

(5) Notification of reinvested enhancements. Qualifying facilities are notified in a manner determined by HHSC, as to the award of reinvested enhancements.

(dd) Disclaimer. Nothing in these rules should be construed as preventing facilities from adding direct care staff in addition to those funded by the enhanced direct care staff rate.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on December 18, 2002.

TRD-200208380

Steve Aragón

General Counsel

Texas Health and Human Services Commission

Effective date: January 7, 2003

Proposal publication date: August 30, 2002

For further information, please call: (512) 438-3734