§ 58002. Average Daily Private Pay Rate for Nursing Facilities.

“Average Daily Private Pay Rate for Nursing Facilities” means the estimated average net revenue per patient day for intermediate and skilled nursing facility services for the current calendar year for patients not qualifying for Federal and State reimbursement. The net revenue per patient day is reported annually by each nursing facility to the Office of Statewide Health Planning and Development (OSHPD) and published annually in the OSHPD report entitled, “Aggregate Long Term Care Facility Financial Data”. The published data lags the current year by two years. Therefore, the Department of Health Services will adjust the average net revenue per patient day for the most recent calendar year published by OSHPD to estimate the increase in net revenue per patient day for the two years for which data is not available and thus estimate the average net revenue per patient day for the current calendar year. The average rate of increase in the net revenue per patient day for the most recent five years for which published data is available will be used to make the adjustment. The resulting Average Daily Private Pay Rate for Nursing Facilities for the upcoming calendar year will be rounded to the nearest ten dollars ($10) and distributed by the Department of Health Services in the Long Term Care Issuers' Bulletin.

Charges for ancillary services such as physical therapy, speech therapy, audiology, laboratory, as well as charges for patient supplies and legend prescription drugs are not included in the calculation of Average Daily Private Pay Rate for Nursing Facilities.

HISTORY

1. New section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36). Submitted for printing only pursuant to section 22009, Welfare and Institutions Code.

2. Certificate of Compliance as to 8-30-93 order, including amendment of section, transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No. 4).

3. Repealer of former section 58002 and renumbering of former section 58003 to section 58002 filed 10-1-98 as an emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to Welfare and Institutions Code section 22009(d) (Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL by 1-29-99 or emergency language will be repealed by operation of law on the following day.

4. Certificate of Compliance as to 10-1-98 order transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No. 12).

Note

Note: Authority cited: Section 22009(a)(3), Welfare and Institutions Code. Reference: Section 22005(b), Welfare and Institutions Code.