Minnesota Rug Rates

In calculating the distribution 861 unclassifiable records bc1 were deleted from the file.

Minnesota rug rates. Medicare pps rugs iv rates by minnesota region effective on 10 1 11 rugs category st. Rug 44 rug 53 distribution chart based on cy 2006 data is available for download from the downloads section below. Per diems are broken down county by county so to determine the rates applicable to your business trip in minnesota choose the county or counties in which you will be travelling to access detailed per diem rate sheets. The minnesota legislature authorized the following service rate increase and monthly budget cap increases effective july 1 2020.

The minnesota department of human services dhs establishes facility specific reimbursement rates for each case mix classification including two minnesota specific classifications. Cloud grand forks fargo moorhead la crosse mankato rux 773 74 614 20 642 70 721 13 703 97. Updated 2001 distribution of days for the rug 44 and rug 53 models. The rates also include an estimate of the cost of services which prior to july 1 1998 had been paid under part b but furnished to snf residents during a part a covered stay.

The proposed fy 2020 payment rates reflect the use of the pdpm classification system from october 1 2019 through september 30 2020. Dhs establishes these rates annually. These groups determine the daily rate the facility charges for the resident s care. In addition to updating the quality reporting program qrp and the snf value based purchasing vbp program and finalizing the patient driven payment model pdpm this final rule updates the 2019 payment rates for the snf.

A facility s cost report covers the previous reporting year which runs from october 1 to september 30. Minnesota case mix review program. Minnesota case mix is a system that classifies residents into distinct groups called resource utilization groups rugs based on the resident s condition and the care the resident receives. Shows an example of the timeline dhs uses to set rates.

The gsa general services administration sets per diem rates on a monthly basis for each of the 87 counties in minnesota. Minnesota uses the rug iv 48 group model for case mix payment. Cms lists the final case mix adjusted pdpm payment rates for fy 2020 for urban and rural snfs in tables 6 and 7 reproduced in the appendix. Fy 1995 costs are updated to fy 1998 by a snf market basket minus 1 percentage point for each of fiscal years 1996 1997 and 1998.

This distribution was used to calculate the nursing case mix indices. 3 53 increase to the home delivered meals service rate through alternative care ac elderly waiver ew and essential community supports ecs 0 04 increase to ew and ac monthly case mix budget caps. Dhs uses these cost reports to calculate a facility s rate for the following rate year.