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249k-2
249K.2 DEFINITIONS.
As used in this chapter, unless the context otherwise requires:
1. "Complete replacement" means completed construction on a
new nursing facility to replace an existing licensed and certified
facility. The replacement facility shall be located in the same
geographical service area as the facility that is replaced and shall
have the same number or fewer licensed beds than the original
facility.
2. "Department" means the department of human services.
3. "Iowa Medicaid enterprise" means Iowa Medicaid enterprise
as defined in section 249J.3.
4. "Major renovations" means construction or facility
improvements to a nursing facility in which the total amount expended
exceeds one million five hundred thousand dollars.
5. "Medical assistance" or "medical assistance program"
means the medical assistance program created pursuant to chapter
249A.
6. "New construction" means the construction of a new nursing
facility which does not replace an existing licensed and certified
facility and requires the provider to obtain a certificate of need
pursuant to chapter 135, division VI.
7. "Nondirect care component" means the portion of the
reimbursement rate under the medical assistance program attributable
to administrative, environmental, property, and support care costs
reported on the provider's financial and statistical report.
8. "Nursing facility" means a nursing facility as defined in
section 135C.1.
9. "Provider" means a current or future owner or operator of
a nursing facility that provides medical assistance program services.
10. "Rate determination letter" means the letter that is
distributed quarterly by the Iowa Medicaid enterprise to each nursing
facility, which is based on previously submitted financial and
statistical reports from each nursing facility. Section History: Recent Form
2007 Acts, ch 219, §36, 41, 43 Footnotes
Approval received April 17, 2008, from centers for Medicare and
Medicaid services of the United States department of health and human
services for medical assistance state plan amendment effective
October 1, 2007; approval of instant relief or nondirect care limit
exception dependent on extent of available funding; 2007 Acts, ch
219, §41
