Resident census

1. A daily census record must be maintained by the facility. Any day services provided or for which payment is ordinarily sought for an available bed must be counted as a resident day. The day of admission and day of death are resident days. The day of discharge must be counted if payment is sought for that day. For a medical assistance resident, payment may not be sought for the day of discharge. 2. The daily census records must include: a. Identification of the resident; b. Entries for all days, and not just by exception; c. Identification of type of day, i.e., in-house, hospital leave, or therapeutic leave day; and d. Monthly totals by resident and by type of day. 3. A maximum of fifteen consecutive days per occurrence are allowed for payment by the medical assistance program for hospital leave. Hospital leave days in excess of fifteen consecutive days not billable to the medical assistance program are not resident days unless any payment is sought as provided for in subsection 2 of section 75-02-09-19. 4. A maximum of fifteen days per certification of need period are allowed for payment by the medical assistance program for therapeutic leave. Prior authorization is necessary for additional days beyond the fifteen-day certification of need period. The payment rate for therapeutic leave days must be five hundred dollars per day.