§ 40-8-20.1. Prospective rate increments.
The department may consider the granting of a prospective rate that reflects demonstrated
cost increases in excess of the rate that has been established by the application
of the percentage increase. In order to qualify for the rate increment, demonstrated
increased costs must be the result of:
(1) Demonstrated errors made during the rate-determination process;
(2) Significant increases in operating costs resulting from the implementation of new
or additional programs, services, or staff specifically mandated by the Rhode Island
department of health;
(3) Significant increases in operating costs resulting from capital renovations, expansion,
or replacement required for compliance with fire safety codes and/or certification
requirements of the Rhode Island department of health, as well as increased energy
costs that the facility can demonstrate are a result of the facility having expended
funds for heating, lighting, hot water, and similar costs associated with the consumption
of energy provided by public utilities;
(4) Significant increases in workers' compensation and/or health insurance premiums that
cannot be accommodated within the nursing facility's assigned aggregate per diem rate,
if cost justified; provided, that the assigned per diem rate in the labor- and payroll-related-expenses
cost center does not exceed two percent (2%) of the cost center ceiling; or
(5) Extraordinary circumstances, including, but not limited to, acts of God, and inordinate
increases in energy costs (e.g., federal BTU tax, regional or national energy crisis).
Inordinate increases in energy costs will be immediately reflected in increased rates
above the energy cost center ceiling maximum. Provided, however, that the increases
will be rescinded immediately upon cessation of the extraordinary circumstance. All
requests for rate increments shall be limited to one request per nursing facility
for the factors set forth in subsections (2) and (3); provided, additional requests
involving a per diem increase in excess of one percent of the nursing facility's previously
assigned aggregate per diem rate shall also be reviewed. Before a nursing facility
shall be permitted to file for a rate increment, increases in operating costs set
forth in subsections (2) and (3) must have been incurred for a period of not less
than three (3) months in order to establish proof of the increase. Rate adjustments
granted as a result of a request filed within one hundred twenty (120) days after
the costs were first incurred shall be made effective retroactively to the date the
costs were actually incurred; provided, further, any adjustments granted as a result
of requests filed more than one hundred twenty (120) days after the costs were first
incurred will be effective on the first day of the month following the filing of the
request.