Nf: Payments For Temporary Absences

Limitations for payments made to reserve beds in NFs during a temporary absence if the NF charges private pay patients for reserve bed days: (7-1-26) 01. NF Occupancy Limits. Payment for temporary absences from NFs are made according to the number of licensed and unoccupied beds. (7-1-26) a. Payments are not allowed for NFs with less than one hundred (100) licensed beds when five (5) or more are unoccupied. (7-1-26) b. Payments may be allowed for NFs with one hundred (100) or more licensed beds when the minimum occupancy rate is ninety-five percent (95%). (7-1-26) 02. Time Limits. Payments for temporary absences are made for therapeutic home visits for residents up to three (3) days per visit, not exceeding fifteen (15) days per calendar year for days included as part of a treatment plan ordered by a provider. (7-1-26) 03. Payment Limits. Reserve bed days payments are the lesser of seventy-five percent (75%) of the audited allowable NF costs or the rate charged to private pay residents. (7-1-26) 496. – 499. (RESERVED) SUB AREA: ICF/IID (Sections 500-529) 500. (RESERVED)