405 IAC 1-12-20
405 IAC 1-12-20 Allowable costs; calculation of allowable owner or related party compensation; wages; salaries; fees; fringe benefits
Cite as Ind. Admin. Code tit. 405, r. 1-12-20
Sec. 20. (a) Compensation for owner, related party, management, general line personnel, and consultants who perform management
functions, or any individual or entity rendering services above the department head level shall be subject to the annual limitations described in this
section. All compensation received by the parties as described in this subsection shall be reported and separately identified on the financial report
form even though such payment may exceed the limitations. This compensation is allowed to cover costs for all administrative, policy making,
decision making, and other management functions above the department head level. This includes wages, salaries, and fees for owner, administrator,
assistant administrator, individuals within management, contractors, and consultants who perform management functions, as well as any other
individual or entity performing such tasks.
(b) The maximum amount of owner, related party, management compensation for the parties identified in subsection (a) shall be the lesser
of the amount under subsection (d), as updated by the office on July 1 of each year by determining the average rate of change of the most recent
twelve (12) quarters of the Gross National Product Implicit Price Deflator, or the amount of patient or resident related wages, salaries, or fees actually
paid or withdrawn which were properly reported to the Internal Revenue Service as wages, salaries, fringe benefits, expenses, or fees. If liabilities
are established, they shall be paid within seventy-five (75) days after the end of the accounting period or such costs shall be disallowed.
(c) In addition to wages, salaries, and fees paid to owners under subsection (b), the office will allow up to twelve percent (12%) of the
appropriate schedule for fringe benefits, business expenses charged to an operation, and other assets actually withdrawn that are patient or resident
related. These expenses include fringe benefits that do not meet nondiscriminatory requirements of the Internal Revenue Code, entertainment, travel,
or continuing education. Other assets actually withdrawn include only those items that were actually accrued and subsequently paid during the cost
reporting period in which personal services were rendered and reported to the Internal Revenue Service as fringe benefits, expenses, or fees. If
liabilities are established, they shall be paid within seventy-five (75) days after the end of the accounting period or such costs shall be
disallowed.
(d) The owner, related party, and management compensation and expense limitation per operation effective July 1, 1993, shall be as
follows:
Owner and Management Compensation Owner's
Expense
Beds Allowance (12% × bed allowance)
10 $18,527 $2,223
20 $24,717 $2,966
30 $30,887 $3,706
40 $37,049 $4,446
50 $43,241 $5,189
60 $46,948 $5,634
70 $50,657 $6,079
80 $54,362 $6,523
90 $58,055 $6,967
100 $61,763 $7,412
110 $66,731 $8,007
120 $71,663 $8,600
130 $76,628 $9,195
140 $81,546 $9,786
150 $86,496 $10,380
160 $91,427 $10,971
170 $96,378 $11,565
180 $101,313 $12,157
190 $106,262 $12,751
200 $111,196 $13,343
200 and over $111,196 plus $225 per bed over
200 $13,343 plus $27 per bed over 200
This subsection applies to each provider of a certified Medicaid operation. The unused portions of the allowance for one (1) operation shall
not be carried over to other operations.