10A NCAC 22G .0101. REIMBURSEMENT PRINCIPLES

All certified nursing facilities participating in the North Carolina Medicaid Program are reimbursed on a prospective basis as set forth hereunder, except that state‑operated facilities will be reimbursed their reasonable and allowable costs in accordance with the Medicare principles of reimbursement and with the provisions of Rules .0103 and .0104 of this plan. This plan is developed in accordance with the requirements of 42 CFR 447 Subpart C ‑ Payment for Inpatient Hospital and Long‑Term Care Facility Services.  Providers must comply with all federal regulations and with the provisions of this plan.

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; S.L. 1985, c. 479, s. 86; 42 C.F.R. 447, Subpart C;

Eff. January 1, 1978;

Amended Eff. March 22, 1978;

Emergency Amendment [(a), (b), (c), (g), (m), (o), (p), (q)] Eff. April 1, 1978 for a Period of 120 Days to Expire on July 30, 1978;

Emergency Amendment [(a), (b), (c), (g), (m), (o), (p), (q)] Expired Eff. July 30, 1978;

Amended Eff. August 1, 1982;

Temporary Amendment Eff. October 1, 1984 for a Period of 120 Days to Expire on January 28, 1985;

Amended Eff. April 1, 1992; October 1, 1991; January 28, 1985;

Temporary Amendment Eff. June 26, 2003;

Temporary Amendment Expired April 27, 2004.