La. Admin. Code tit. 40 § I-2513
Current through Register Vol. 50, No. 11, November 20, 2024
Section I-2513 - Skilled Nursing and Intermediate Facility ReimbursementA. Reimbursement for skilled nursing facility or intermediate care (swing bed) facility services will be limited to the lesser of covered billed charges or the per diem amount. 1. The uniform statewide per diem rates will be applied to inpatient days by type of facility, either hospital-based or freestanding.2. The reimbursement amount will be reduced by charges for noncovered items and services. Per Diem Rate Schedules |
Skilled Nursing Facility |
Hospital Based | $294 |
Freestanding | $ 69 |
Intermediate Care Facility |
Hospital Based | $224 |
Freestanding | $ 63 |
3. Using the above per diems, the formula for calculating payment amount is the same as that for inpatient hospital services found in §2505. B.1La. Admin. Code tit. 40, § I-2513
Promulgated by the Department of Labor, Office of Workers' Compensation, LR 19:54 (January 1993), repromulgated LR 19:212 (February 1993), amended LR 20:1299 (November 1994).AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.