Minnesota § 256R.23 TOTAL CARE-RELATED PAYMENT RATES

Minnesota Statutes

§ 256R.23 — TOTAL CARE-RELATED PAYMENT RATES

Minnesota § 256R.23

PartPUBLIC WELFARE AND RELATED ACTIVITIES

Ch. 256RNURSING FACILITY RATES

This text of Minnesota § 256R.23 (TOTAL CARE-RELATED PAYMENT RATES) is published on Counsel Stack Legal Research, covering Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Minn. Stat. § 256R.23 (2026).

Text

Subdivision 1.Determination of total care-related cost per day.
Each facility's total care-related cost per day is the sum of its direct care cost per standardized day and its other care-related cost per resident day.

Subd. 2.Calculation of direct care cost per standardized day.
Each facility's direct care cost per standardized day is the facility's direct care costs divided by the sum of the facility's standardized days. A facility's direct care cost per standardized day is the facility's cost per day for direct care services associated with a case mix index of1.00.

Subd. 3.Calculation of other care-related cost per resident day.
Each facility's other care-related cost per resident day is its other care-related costs, divided by the sum of the facility's resident days.

Subd. 4.Determi

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Subdivision 1.Determination of total care-related cost per day.
Each facility's total care-related cost per day is the sum of its direct care cost per standardized day and its other care-related cost per resident day.

Subd. 2.Calculation of direct care cost per standardized day.
Each facility's direct care cost per standardized day is the facility's direct care costs divided by the sum of the facility's standardized days. A facility's direct care cost per standardized day is the facility's cost per day for direct care services associated with a case mix index of1.00.

Subd. 3.Calculation of other care-related cost per resident day.
Each facility's other care-related cost per resident day is its other care-related costs, divided by the sum of the facility's resident days.

Subd. 4.Determination of the median total care-related cost per day.
The commissioner must determine the median total care-related cost per day using the cost reports from nursing facilities in Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, and Washington Counties.

Subd. 5.Determination of total care-related payment rate limits.
The commissioner must determine each facility's total care-related payment rate limit by:
(1) multiplying the facility's quality score, as determined under section256R.16, subdivision 1, by 0.5625;
(2) adding89.375to the amount determined in clause (1), and dividing the total by 100; and
(3) multiplying the amount determined in clause (2) by the median total care-related cost per day.

Subd. 6.
MS 2024 [Repealed,1Sp2025 c 9 art 1 s 32]

Subd. 7.Determination of direct care payment rates.
A facility's direct care payment rate equals the lesser of (1) the facility's direct care costs per standardized day, (2) the facility's direct care costs per standardized day divided by its cost to limit ratio, (3) the previous year's direct care payment rate times one plus CPI-U inflation, or (4) 104 percent of the previous year's direct care payment rate.

Subd. 8.Determination of other care-related payment rates.
A facility's other care-related payment rate equals the lesser of (1) the facility's other care-related cost per resident day, (2) the facility's other care-related cost per resident day divided by its cost to limit ratio, (3) the previous year's other care-related rate times one plus CPI-U inflation, or (4) 104 percent of the previous year's other care-related payment rate.

Subd. 9.Determination of total care-related payment rates.
A facility's total care-related payment rate is the sum of its direct care payment rate as determined in subdivision 7 and its other care-related payment rate as determined in subdivision 8.