LTC Facility Workload (SNF/NF)

4544 - LTC Facility Workload (SNF/NF) (Rev. 96, Issued, 12-13-13, Effective: 12-13-13, Implementation: 12-13-13) The certification requirements for SNFs and NFs in the Medicare and Medicaid programs are virtually identical. The same staff must perform the survey activity relating to SNF/NFs. This ensures that interpretation of the regulations to the provider remains consistent regardless of program participation. In addition to surveying SNFs, the same staff may survey ICFs/IID for the Medicaid program in order to consolidate survey activities being performed for both programs. The Federal share of the costs of the survey and certification activities and follow-up visits related to surveys of nursing homes participating in both titles XVIII and XIX are to be divided equally by the two programs. FFP in the costs for each program are to be in accordance with regulations pertaining to the respective program. Costs of survey and certification activities and follow-up visits related to surveys of ICFs/IID are to be chargeable entirely to title XIX in accordance with Federal regulations. The costs of activities performed by this survey staff for purposes of the State licensure program or any other State program must be borne entirely by the State. The SA maintains records to reflect the costs of these activities. Time records having prior approval by the RO are used to support the actual charges made to either the Medicaid or Medicare program. Since a portion of the survey and certification costs for Medicaid continues to be borne by the State, it is necessary that the budget and activity plan be submitted to the SMA for review and approval. This procedure will also assure proper coordination and scheduling of survey and certification activities by the SA with the medical review and UR responsibilities of the title XIX agency. The Budgetary Process