Update to TANF Need Standard Deductible, Personal Needs Allowance due to 2012 Federal Poverty Level Increase.

The State General fund Contribution of $2.50 per Medicaid nursing facility bed day to the funds avialable to pay the state share of the supplemental payments to free-standing nursing facilities will be removed. The settlement agreement that required this contribution will expire on June 30, 2013.

Attachment 4.19-D Page 9, Section E, 1.b. Special Care Rates: The reimbursement methodology for Behaviorally Complex Add-On rate will now be based on the minimum staffing level multiplied by the Nevada Certified Nursing Assistant (CAN) median wage. The minimum staffing level will be divided into three catagories. Each category will be defined by the number of hours of care required by the recipient, and evaluated on a case by case basis.

2009 Service Intensity Weights (SIWs).

Nursing Home Medicaid Case Mix.

Nursing Home Cash Assessment Extension.

Nursing Home Rebasing.

AIDS Occupancy Factor (FMAP = 61.59% as of effective date).

NH Recruitment & Modify Capital Rates for Certain Proprietary Homes (FMAP = 61.59% as of effective date).

Trend Factor Banking Adjustment-Inpatient.