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Adjustments to reported costs of facilities will be made to reflect changes in state or federal laws and regulations which would impact upon such costs. The adjustments are necessary to account for costs associated with changes in state or federal laws and regulations which are not included in cost reports used to set rates nor in cost inflation factors that may be otherwise applied during the rate setting process pursuant to the State Plan. These adjustments will be reflected as an "add-on" to the rates for these costs. To the extent not prohibited by federal law or regulations, "add-ons" to the rate may continue until such time as those costs are included in cost reports used to set rates under this state plan. For example, state or federal mandates may include such costs as changes to the minimum wage or increases in nurse staffing requirements. An example of other extraordinary costs might include unexpected increases in workers compensation costs or other costs which would impact facilities ability to continue to provide patient care.
加州州计划修正案传送编号 24-0004
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