Budget Amendment ID: FY2020-S3-592

EHS 592

Nursing Homes

Mr. Cyr, Ms. DiZoglio, Messrs. Tran, Moore, Eldridge, deMacedo and Feeney, Ms. Gobi, Mr. Tarr and Ms. Lovely moved that the proposed new text be amended in section 2, in item 4000-0641, by striking the words “to fund targeted investments in: (i) nursing home quality; (ii) care for complex patient populations; (iii) critical access facilities; (iv) occupancy; (v) geography; and (vi) other investments based on demonstrated regional need” and inserting in place thereof the following:- to fund targeted investments in nursing facilities, provided that a facility shall qualify for an equal per diem payment amount if it meets any one of the following criteria:  (i) has an overall Centers for Medicare and Medicaid Nursing Home Compare 5-Star rating of three or more Stars as of July 1, 2019; or (ii) is a critical access facility as defined as a facility with a Medicaid occupancy of 75% or greater inclusive of Medicaid fee for service, Medicaid Senior Care Organization and Medicaid managed care days; or (iii) provides care for complex patient populations, defined as a facility having an average management minute questionnaire score of 225 minutes or higher; or (iv) is located in a geographically isolated community.