Current through Register Vol. 71, No. 33, August 16, 2024
Rule 29-973 - EXCLUSIONS FROM ALLOWABLE COSTS973.1The following categories of expenses shall be excluded from allowable operating costs because they are not normally incurred in providing resident care:
(a) Salaries of officers not performing managerial duties;(b) Fund raising expenses in excess of ten percent (10%) of the amount raised;(c) Free care or discounted services;(d) Parties and social activities not related to resident care;(e) Personal telephone, radio, and telephone services;(f) Gift, flower and coffee shop expenses;(h) Organization Membership not related to resident cares(i) All services covered by direct provider payments under Medicaid, Medicare Part B, CHAMPUS, Blue Cross/Blue Shield, various other insurers or third party resources;(j) Interest expenses and penalties due to late payment of bills or taxes, or for licensure violations;(k) District of Columbia provider tax cost. If the provider tax is enacted after March 31, 1996 it shall not be excluded from allowable costs; and(l) Pharmacy expenses paid under the Point of Sale reimbursement system.973.2The following shall reduce allowable costs:
(a) Costs related to revenue from laundry and linen service;(b) Employee and guest meals;(c) Sale of drugs to other parties;(d) Sale of medical and surgical supplies to parties other than customers;(e) Sale of medical records and abstracts;(f) Rental of quarters to employees and parties other than customers;(h) Purchase discounts and allowances;(i) Rebates and refunds of expenses;(j) Investment income for unrestricted funds to the extent that it exceeds interest expense on investments;(k) Recovery of an insured loss; and(l) Grants, gift, and income from endowments designated by the donor for specific operating expenses.D.C. Mun. Regs. r. 29-973
Final Rulemaking published at 45 DCR 2333, 2346 (April 17, 1998)Authority: Section 1 of An Act to enable the District of Columbia to receie Federal financial assistance under Title XIX of the Social Security Act for a medical assistance program, and for other purposes, approved December 27, 1967 (81 Stat. 774; D.C. Official Code § 1-359(b) ); Reorganization Plan No. 4 of 1996, effective January 13, 1997; and Mayor's Order 97-42, dated February 18, 1997.