Long-Term Care Facility Payment

Long-term care facilities are reimbursed the lower of their customary charges, their actual reasonable costs, adjusted by a BAF for NFs, or the standard costs for their class as set forth under the PRM. Upper payment limits must not exceed payments determined as reasonable costs under Medicare standards and principles. (7-1-26) 048. – 049. (RESERVED) SPECIFIC PROVIDER REIMBURSEMENT (Sections 050-059)