SB0110 Summary

• Implements Resource Utilization Groups (RUG-IV 48) reimbursement system for nursing facility Medicaid payments effective January 1, 2014, replacing previous methodologies based on resident needs, facility costs, and regional wage adjusters.

• Establishes regional wage adjustors based on Health Service Areas with a minimum floor of 1.0, ensuring no adjuster falls below that level.

• Allocates up to $10,000,000 beginning July 1, 2014 for per diem add-ons: $0.63 per resident with Alzheimer's or non-Alzheimer's dementia, and $2.67 per resident with specific behavioral symptoms in certain RUG groups.

• Authorizes up to $70,000,000 annually for direct care staffing add-ons and up to $170,000,000 annually for support component rate updates effective July 1, 2019, contingent on federal approval and facility compliance with approved staffing plans.

• Requires Department of Healthcare and Family Services to convene a technical advisory group by first quarter of State Fiscal Year 2020 to develop revised Medicaid reimbursement methodology accounting for staffing transparency, minimum wage changes, and quality improvements.