WI-11-007

This amendment revises methodology for periodically adjusting payment rates to reflect changes in case mix; updates the RUGS Grouper version; revises the type of debt recognized for purposes of determining allowable interest expense; increases the aggregate amount of supplemental payments to NFs operated by Local units of government; increases the alternate rate for ventilator dependent patients that have been transferred from a hospital to a NF; revises inflation, deflation, and labor factors, as well as the case mix weights for purposes of calculating the direct care allowance; increases the Medicaid access incentive for ICF/MRs.