Section 388-835-0005. What is the purpose of this chapter?

Section 388-835-0010. What terms and definitions are important to understanding this chapter?

Section 388-835-0015. What is a "beneficial owner"?

Section 388-835-0020. What is a "change in ownership"?

Section 388-835-0025. How can lease agreements be terminated?

Section 388-835-0030. What is a "qualified therapist"?

Section 388-835-0035. Does DSHS grant exemptions to these rules?

Section 388-835-0040. What general requirements apply to ICF/MR care facilities?

Section 388-835-0045. What are the minimum staff requirements for an ICF/ID facility?

Section 388-835-0050. What general requirements apply to the quality of ICF/ID services?

Section 388-835-0055. What are the resident's rights if DSHS decides that they are no longer eligible for ICF/ID services?

Section 388-835-0060. What are DSHS responsibilities when it decides to redetermine a resident eligibility for ICF/ID services?

Section 388-835-0065. Do residents always have a right to a hearing?

Section 388-835-0070. What requirements apply to the placement of individuals in an ICF/ID facility?

Section 388-835-0075. What if an individual is transferred between facilities?

Section 388-835-0080. What if an ICF/ID facility is closed?

Section 388-835-0085. Why is an individual transferred or discharged?

Section 388-835-0090. What is the basis of the decision to transfer or discharge an individual?

Section 388-835-0095. Is a transfer plan required for each resident?

Section 388-835-0100. Why would an individual move?

Section 388-835-0105. What are DSHS' responsibilities for placing individuals?

Section 388-835-0110. Is DSHS required to give written notice when it intends to transfer an individual?

Section 388-835-0115. Can a facility request that an individual be transferred?

Section 388-835-0120. What steps must be followed when a facility makes a transfer request?

Section 388-835-0125. Can residents request a transfer?

Section 388-835-0130. What rights are available to a resident regarding a proposed transfer?

Section 388-835-0140. Do residents always have a right to a hearing?

Section 388-835-0145. Does a facility have a responsibility to report incidents involving residents?

Section 388-835-0150. When does DSHS require discharge and readmission of a resident?

Section 388-835-0155. What requirements apply to social leaves for ICF/ID residents?

Section 388-835-0160. Can residential habilitation center (RHC) superintendents involuntarily detain residents?

Section 388-835-0165. Is a superintendent required to give notice when they detain a resident?

Section 388-835-0170. What is a superintendent's responsibility when a resident voluntarily leaves an RHC?

Section 388-835-0175. What if a facility violates its ICF/ID contract?

Section 388-835-0180. What if an ICF/ID contract is terminated?

Section 388-835-0185. Does DSHS withhold payment for services when a contract is terminated?

Section 388-835-0190. What happens to withheld payments and security from a provider when a final settlement is determined?

Section 388-835-0195. What requirements apply to surety bonds or assigned funds used as security by a provider?

Section 388-835-0200. Does decertification, termination or nonrenewal of a contract stop payment of Title XIX funds?

Section 388-835-0205. How does a change in ownership affect an ICF/ID contract with DSHS?

Section 388-835-0210. What is the prospective cost related reimbursement system (PCRRS)?

Section 388-835-0215. What are the requirements for participating in PCRRS?

Section 388-835-0220. What are the projected budget requirements for new providers?

Section 388-835-0225. How should cost reports be prepared?

Section 388-835-0230. Must a cost report be certified?

Section 388-835-0235. When are cost reports due to DSHS?

Section 388-835-0240. Does DSHS grant extensions for cost reporting deadlines?

Section 388-835-0245. What if a provider fails to submit a final report?

Section 388-835-0250. What if a provider submits improperly completed or late reports?

Section 388-835-0255. What if a provider files a report containing false information?

Section 388-835-0260. Can providers amend annual cost reports filed with DSHS?

Section 388-835-0265. Can providers file amendments if a DSHS field audit has been scheduled?

Section 388-835-0270. Can providers file amendments if DSHS does not conduct a field audit?

Section 388-835-0275. What requirements apply when amendments are filed?

Section 388-835-0280. Do ICF/ID providers have to maintain records related to their contracts?

Section 388-835-0285. What if a provider fails to maintain records or refuses to let them be reviewed?

Section 388-835-0290. Does DSHS have a responsibility to retain provider reports?

Section 388-835-0295. Are the reports submitted to DSHS by providers available to the public?

Section 388-835-0300. What is an ICF/ID field audit?

Section 388-835-0305. When does DSHS schedule a field audit?

Section 388-835-0310. When does DSHS complete a field audit?

Section 388-835-0315. How should a provider prepare for a field audit?

Section 388-835-0320. What is the scope of a field audit?

Section 388-835-0325. What if an auditor discovers that provider reports are inadequately documented?

Section 388-835-0330. Are final audit narratives and summaries available to the public?

Section 388-835-0335. What general requirements apply to accounting for resident trust accounts?

Section 388-835-0340. What specific accounting procedures apply to resident trust accounts?

Section 388-835-0345. Can residents overdraw their trust account?

Section 388-835-0350. Can a resident trust account be charged for Title XIX services?

Section 388-835-0355. Can a resident trust account be charged for medical services, drugs, therapy and equipment?

Section 388-835-0360. Can providers create petty cash funds for residents?

Section 388-835-0365. Can providers create checking accounts for residents?

Section 388-835-0370. What controls must a provider use to ensure the safety of trust fund money?

Section 388-835-0375. Can a resident withdraw trust money?

Section 388-835-0380. What happens to resident funds when a change of ownership occurs?

Section 388-835-0385. How are trust fund moneys refunded?

Section 388-835-0390. How are trust funds liquidated?

Section 388-835-0395. How must a facility maintain resident property records?

Section 388-835-0400. What are allowable costs?

Section 388-835-0405. What are unallowable costs?

Section 388-835-0410. Can a provider offset miscellaneous revenues against allowable costs?

Section 388-835-0415. Are the costs of meeting required standards allowable costs?

Section 388-835-0420. Are costs associated with related organizations allowable costs?

Section 388-835-0425. Are start-up costs allowable costs?

Section 388-835-0430. Are organizational costs allowable costs?

Section 388-835-0435. Are education and training costs allowable costs?

Section 388-835-0440. Are operating lease costs allowable costs?

Section 388-835-0445. Are rental expenses paid to related organizations allowable costs?

Section 388-835-0450. What is allowable interest?

Section 388-835-0455. Can a provider offset interest income against allowable costs?

Section 388-835-0460. How does DSHS calculate total compensation for owners and relatives?

Section 388-835-0465. How does DSHS define owner or relative compensation?

Section 388-835-0470. What requirements apply to capitalizing equipment, including furniture and furnishings?

Section 388-835-0475. What requirements apply to capitalizing buildings, other real property items, components, improvements and leasehold improvements?

Section 388-835-0480. How are the useful lives of leasehold improvements determined?

Section 388-835-0485. What are depreciable assets?

Section 388-835-0490. What are some examples of depreciable assets?

Section 388-835-0495. What is "minor equipment"?

Section 388-835-0500. Is land a depreciable asset?

Section 388-835-0505. What costs are included in the capitalized cost of land?

Section 388-835-0510. What is the depreciation base of a tangible asset?

Section 388-835-0515. Can an appraisal be used to establish historical cost?

Section 388-835-0520. What is the depreciation base of a donated or inherited asset?

Section 388-835-0525. How is the useful life of a depreciable asset determined?

Section 388-835-0530. What depreciation methods are approved by DSHS?

Section 388-835-0535. What is depreciation expense?

Section 388-835-0540. Can providers claim depreciation on assets that are abandoned, retired or disposed of in some other way?

Section 388-835-0545. How must providers account for gains and losses on the retirement of tangible assets?

Section 388-835-0550. How are gains and losses calculated when a tangible asset is retired?

Section 388-835-0555. How must providers account for gains and losses on retired assets that are replaced?

Section 388-835-0560. How must providers account for gains and losses on retired assets that are not replaced?

Section 388-835-0565. How must providers account for gains and losses on retired assets if they terminate their contract with DSHS?

Section 388-835-0570. Can DSHS recover reimbursements for depreciation expense?

Section 388-835-0575. What requirements apply to calculating ICF/ID reimbursement rates?

Section 388-835-0580. What program services are not covered by DSHS prospective reimbursement rates?

Section 388-835-0585. What requirements apply to prospective reimbursement rates for new providers?

Section 388-835-0590. How are reimbursement rates calculated?

Section 388-835-0595. When does DSHS review a provider's annual cost report?

Section 388-835-0600. What is the purpose of reviewing a provider's annual cost report?

Section 388-835-0605. What is the scope of an annual cost report review?

Section 388-835-0610. Can DSHS accumulate cost report information and use if for department purposes?

Section 388-835-0615. What are component rates and cost centers?

Section 388-835-0620. What reimbursement requirements apply to resident care and habilitation cost centers?

Section 388-835-0625. What requirements apply to administration, operations and property cost center rates?

Section 388-835-0630. What is the food rate component?

Section 388-835-0635. Is there a limit to the allowable cost for administrative personnel?

Section 388-835-0640. Can a provider hire an individual or firm to manage their ICF/ID facility?

Section 388-835-0645. Are management fees allowable costs?

Section 388-835-0650. Are all management fees allowable?

Section 388-835-0655. Are management fees involving a related organization allowable costs?

Section 388-835-0660. How do overhead and indirect costs relate to allowable costs?

Section 388-835-0665. Are travel and housing expenses of nonresident staff working at a provider's ICF/ID facility allowable costs?

Section 388-835-0670. Are bonuses paid to a provider's employees allowable costs?

Section 388-835-0675. Are fees paid to members of the board of directors or corporations allowable costs?

Section 388-835-0680. How is the administration and operations rate component computed?

Section 388-835-0685. How is the property rate component computed?

Section 388-835-0690. Does DSHS pay a return on equity to providers?

Section 388-835-0695. How is a return on equity calculated?

Section 388-835-0700. What if a provider's cost report covers a period shorter than twelve months?

Section 388-835-0705. Are return on equity calculations subject to field audits?

Section 388-835-0710. How does DSHS use field audit results?

Section 388-835-0715. Does DSHS place upper limits on the reimbursement rates it pays providers?

Section 388-835-0720. What general requirements apply to settlements between DSHS and providers?

Section 388-835-0725. What requirements apply to paying overpayments and underpayments?

Section 388-835-0730. What if the amount of overpayment or underpayment is being disputed?

Section 388-835-0735. What requirements apply to a provider's proposed preliminary settlement?

Section 388-835-0740. How must DSHS respond to a provider's proposed preliminary settlement?

Section 388-835-0745. What recourse does a provider have if DSHS rejects their proposed preliminary settlement?

Section 388-835-0750. What requirements apply to final settlements?

Section 388-835-0755. Can a provider disagree with a final settlement report?

Section 388-835-0760. What if DSHS conducts an audit during the final settlement process?

Section 388-835-0765. Why is a state facility settlement important?

Section 388-835-0770. How is a state facility settlement calculated?

Section 388-835-0775. How is a state facility settlement implemented?

Section 388-835-0780. Does DSHS have a responsibility to notify each provider regarding prospective reimbursement rates?

Section 388-835-0785. Can DSHS increase prospective reimbursement rates?

Section 388-835-0790. How does a provider request a rate increase?

Section 388-835-0795. What requirements apply to providers who receive rate increases?

Section 388-835-0800. What if DSHS discovers that a prospective rate calculation was affected by an error or omission?

Section 388-835-0805. What if a provider discovers an error or omission that affected their cost report?

Section 388-835-0810. What other requirements apply to rate adjustments resulting from errors or omissions?

Section 388-835-0815. What requirements apply to repayment of amounts owed due to errors or omissions?

Section 388-835-0820. What role does the public play in setting prospective reimbursement rates?

Section 388-835-0825. What is DSHS' public disclosure responsibility regarding rate setting methodology?

Section 388-835-0830. How does a provider bill DSHS for services provided?

Section 388-835-0835. How does DSHS pay a provider?

Section 388-835-0840. Can DSHS withhold provider payments?

Section 388-835-0845. Can DSHS terminate medicaid Title XIX payments to providers?

Section 388-835-0850. Who is responsible for collecting from residents any amounts they may own for their care?

Section 388-835-0855. What if a resident's circumstances change causing a provider to contribute more to the resident's care?

Section 388-835-0860. What is the role of a receiver when an ICF/ID facility is placed in receivership?

Section 388-835-0865. How does DSHS determine prospective reimbursement rates during receivership?

Section 388-835-0870. What if the court asks DSHS to recommend a receiver's compensation?

Section 388-835-0875. Can DSHS give emergency or transitional financial assistance to a receiver?

Section 388-835-0880. What happens when a receivership ends?

Section 388-835-0885. What disputes between providers and DSHS can be resolved through the administrative review process?

Section 388-835-0890. What disputes cannot be resolved through the administrative review and fair hearing processes?

Section 388-835-0900. How does a provider request an administrative review?

Section 388-835-0905. What happens after a provider requests an administrative review?

Section 388-835-0910. What if a provider disagrees with the administrative review decision?

Section 388-835-0915. Can DSHS withhold an undisputed overpayment amount from a current ICF/ID payment?

Section 388-835-0920. Can DSHS withhold a disputed overpayment amount from a current ICF/ID payment?

Section 388-835-0925. What is the purpose of this section?

Section 388-835-0930. How is the payment for residential facilities set?

Section 388-835-0935. How much of a resident's income is exempt from paying their care?

Section 388-835-0940. What if the estate of a resident is able to pay all or a portion of their monthly cost?

Section 388-835-0945. If a resident or guardian is served by DSHS with a NFR when is payment due?

Section 388-835-0950. May a resident or guardian request a hearing if they disagree with the NFR?

Section 388-835-0955. What information must be included in the request for a hearing?