Section 16.03.10.255 - NURSING FACILITY: RATE SETTINGThe objectives of the rate setting mechanism for nursing facilities are:
01.Payments. To make payments to nursing facilities through a prospective price-based system, which includes facility-specific case mix adjustments, separate margin payments for indirect care costs and direct care costs, and applied BAF.02.Rate Adjustment. To set rates based on each facility's case mix index on a quarterly basis and establishing rates that reflect the case mix of that facility's Medicaid residents as of a certain date during the preceding quarter.Idaho Admin. Code r. 16.03.10.255