ARM 37.40.309. NURSING FACILITY REIMBURSEMENT

(1) For nursing facility services, other than Intermediate Care facilities for Individuals with Intellectual Disabilities (ICF/IID) services, provided by nursing facilities located within the state of Montana, the Montana Medicaid program will pay a provider, for each Medicaid patient day, a per diem rate determined in accordance with this rule, minus the amount of the Medicaid member's patient contribution. (2) Effective January 1, 2018, the rate for nursing facilities will be reimbursed using a price-based reimbursement methodology. The rate for each facility will be determined using the component defined in ARM 37.40.307(2)(a) and (b).