Do not approve payment for care in a private NH or SLF unless the FCRC receives all necessary information for the customer. The facility uses MEDI or REV to enter the data which was formerly provided by completing a Report on Resident of Private LTC Facility (Form 26). The information required is in addition to the screening requirement. This is not required for anyone who was readmitted to the same facility after a hospital stay of 10 days or less.
Supportive Living Facilities
SLFs are paid for services, using a per diem rate. The per diem rate paid to an SLF is negotiated with HFS for services described in the contract between the SLF and HFS.
Nursing homes are paid for services, using a per diem rate. For out-of-state facilities, payment is negotiated based on the intensity of the services required.
DHS is paid a per diem rate for customers in DHS facilities. The rate includes room and board, medical treatment, and social services. Payment is made by interdepartmental tape exchanges. DHS submits the tapes to the Bureau of Information Services, Springfield. Tapes are not submitted to the FCRC.
Nursing homes provide the following at no extra charge:
Each facility's per diem rate consists of separate components. Each of the components is paid at an approved rate.