The original instrument and the following digest, which constitutes no part of the
legislative instrument, were prepared by Christine Arbo Peck.
DIGEST
SB 531 Original 2018 Regular Session Milkovich
Present law establishes a case mix reimbursement methodology for nursing homes based on certain
enumerated criteria.
Present law provides for a case mix score based on all patients at the facility. Proposed law provides
that the case mix score is for Medicaid patients only.
Present law provides for a guaranteed minimum payment for direct care costs at a level to achieve
quality outcomes. Proposed law provides for payment for achievement of quality outcomes for
Medicaid patients.
Present law provides for a guaranteed minimum payment for administrative and operating costs for
certain events and occurrences. Proposed law provides for a payment for administrative and
operating costs if the nursing home demonstrates present law and the addition of a home- and
community-based service transition counselor to assist nursing home residents who wish to receive
services in the community complete all applications necessary to achieve deinstitutionalization.
Present law proves for a guaranteed minimum payment of 9.25% for rental system for payment of
property costs to include the capital for renovation, improvement, and replacement of facilities.
Proposed law reduces the minimum payment to the current United States Treasury Bond rate plus
a risk factor of 2.5%.
Proposed law provides that funds saved by implementation of the case mix reimbursement
methodology for nursing homes established in proposed law shall be utilized by the department in
the amount of $12.5 million deposited into the Community and Family Support System Fund to
increase waiver slots and in the amount of $13.5 million to increase reimbursement rates to home-
and community-based service providers.
Effective August 1, 2018.
(Amends R.S. 46:2742)