MEMORANDUM
2008 Memorandums
IM-30      04/03/08

DEPARTMENT OF SOCIAL SERVICES
FAMILY SUPPORT DIVISION
P.O. BOX 2320
JEFFERSON CITY, MISSOURI

TO: ALL COUNTY OFFICES
FROM: JANEL R. LUCK, DIRECTOR
SUBJECT:

CHANGE IN LEVELS OF LICENSURE FOR NURSING FACILITIES
MANUAL REVISION #12: SECTIONS 0600.000.00 0600.005.00 0605.000.00 0605.005.00 0610.000.00 0610.005.00 0610.025.00 0615.005.00
IMU5 CODE SHEET pdf logo FORMS MANUAL REVISION #

DISCUSSION:

Senate Bill 616 (2006) modified Sections 198.005, 198.006, and 198.073 RSMo changing levels of licensure of some of the types of nursing facilities licensed by the Department of Health and Senior Services (DHSS) based upon a change in the criteria DHSS uses to license facilities. The type of licensed facility determines the maximum grant payable to an individual receiving assistance through the Supplemental Nursing Care (SNC) Program. The Supplemental Nursing Care Manual is updated. The changes are:

The Supplemental Nursing Care grant amounts remain unchanged. The SNC payment for an Assisted Living Facility is the same as the amount of grant payable to an RCF II. RCF grants are payable at the same rate as the amount payable to the former RCF I facility.

Use the chart below to determine the correct SNC grant amount:

Residential Care Facility (formerly RCF I) $156.00
Residential Care Facility II (continues to comply with former RCF II requirements) $292.00
Assisted Living Facility, Option 1 or 2 $292.00
Intermediate or Skilled (Participant's Medical Necessity for SNC is substantiated by Level of Care Determination) $390.00
Intermediate or Skilled (Participant's Medical Necessity for SNC is not substantiated by Level of Care Determination) $292.00

IMU5 Coding

If a facility is licensed as a Residential Care Facility (former RCF I), use code B in Field 13G of IMU5 or code P for DMH placement. If the facility is licensed as an Assisted Living Facility or Residential Care Facility II (RCF II), use the IMU5 codes formerly corresponding to RCF II facilities. These codes are Y in Field 13G of IMU5 or X for DMH placement. The IMU5 code sheet is updated to reflect these changes.

Verification of Licensure Type

Access the DHSS Intranet link: www.dhss.mo.gov/showmelongtermcare/ “Locate a Long Term Care Facility” to verify the level of licensure for specific facilities. These are being updated by DHSS as the license changes.

NECESSARY ACTION:

SS

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