LAC 40:I.2513. Skilled Nursing and Intermediate Facility Reimbursement

A. Reimbursement for skilled nursing facility or intermediate care (swing bed) facility services will be limited to the lesser of covered billed charges or the per diem amount. 1. The uniform statewide per diem rates will be applied to inpatient days by type of facility, either hospital-based or freestanding. 2. The reimbursement amount will be reduced by charges for noncovered items and services. Per Diem Rate Schedules Skilled Nursing Facility Hospital Based | $294 Freestanding | $ 69 Intermediate Care Facility Hospital Based | $224 Freestanding | $ 63 3. Using the above per diems, the formula for calculating payment amount is the same as that for inpatient hospital services found in §2505.B.1.