§ 42-8-102 — Definitions

(a) As used in this article:
(i) "Account" means the nursing care facility
assessment account created under W.S. 42-8-103;
(ii) "Department" means the department of health;
(iii) "Fiscal year" means the twelve (12) month
period beginning October 1 and ending September 30;
(iv) "Medicaid" means as defined in W.S.
42-7-102(a)(iv);
(v) "Medicare resident day" means a resident day
funded by the Medicare program, a Medicare advantage or special
needs plan or by the Medicare hospice program;
(vi) "Net patient service revenue" means gross
inpatient revenues from services provided to nursing care
facility patients less reductions from gross inpatient revenue
resulting from an inability to collect payment of charges.
Inpatient care revenue excludes nonpatient care revenue such as
beauty and barber, vending income, interest and contributions,
revenues from the sale of meals and all outpatient revenues.
Reductions from gross revenue includes bad debts, contractual
adjustments, uncompensated care, discounts and adjustments and
other revenue deductions;
(vii) "Nursing care facility" means a facility
providing nursing care, but does not include a facility solely
providing assisted living care, a facility solely providing
rehabilitative services or a facility solely providing a
combination of assisted living care and rehabilitative services;
(viii) "Resident day" means a calendar day of care
provided to a nursing facility resident, including the day of
admission and excluding the day of discharge, provided that one
(1) resident day shall be deemed to exist when admission and
discharge occur on the same day;
(ix) "Upper payment limit" means the limitation
established pursuant to 42 C.F.R. 447.272 that disallows federal
matching funds when state Medicaid agencies pay certain classes
of nursing care facilities an aggregate amount for services
furnished by that class of nursing care facilities that would
exceed the amount that would be paid under Medicare payment
principles.