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Nursing Facility Fair Rental Value

What is the Fair Rental Value (FRV) calculation for my facility?

Below is a complete listing of all nursing home facilities and the capital data information DMA has on file.

(this question and answer was a part of the FAQs)

Nursing Facility Capital Data Survey (Fair Rental Value)

2008 Capital Data Survey

All Free-Standing and Hospital Based Nursing Facilities with 2008 cost report year ends on or before September 30, 2008 are required to complete and submit the North Carolina Medicaid Capital Data Survey 2008 to DMA no later than Wednesday, December 31, 2008.

• Input Form for Capital Data Survey with instructions 2008 PDF Version (18 KB)
• Input Form for Capital Data Survey with instructions 2008 Excel Version (51 KB)

INSTRUCTIONS:

All Nursing Facilities:
Please review your facility(ies) capital data survey information. Please verify that the total number of beds, initial year of construction, and number of initial nursing home beds are correct. If your total nursing home beds are more than your initial nursing home beds, please verify the bed additions on the aging schedule, along with the initial beds, add up to the total nursing home beds. Verify all entries on the aging schedule are correct for type, year, and amount. Also, verify all entires, beds and amounts, are ONLY for your nursing beds and no information submitted is for non-Nursing beds, such as Rest Home beds or ACH beds.

If you find any discrepency, please complete a new Capital Data Survey (CDS) with ALL entires included as they are to appear on the aging schedule, along with total nursing facility beds, initial year of construction and initial nursing facility beds. Any entry that is not on a revised CDS that may be submitted will be deleted from the schedule. All revisions are due by April 15, 2009. Please foward to:

Tabitha Lee
2501 Mail Service Center
Raleigh, NC 27699-2501
Fax: 919-715-4200
Email: tabitha.lee@dhhs.nc.gov

Aging Schedule Excel Worksheet

2007 Capital Data Survey

All Free-Standing and Hospital Based Nursing Facilities with 2007 cost report year ends on or before September 30, 2007 are required to complete and submit the North Carolina Medicaid Capital Data Survey 2007 to DMA no later than Monday, December 31, 2007.

• Input Form for Capital Data Survey 2007 - Important Notce
• Input Form for Capital Data Survey 2007
• Input Form for Capital Data Survey 2007 Instructions

2006-2007 Surveys

To view Capital Data Survey 2006-2007 information previously furnished to DMA, click on the below EXCEL file. If the provider believes there to be material errors in the data they previously submitted, follow the directions identified in the North Carolina Medicaid Capital Data Survey 2007.

The Capital Data Survey Summary 2006-2007 summarizes all Capital Data Survey data previously furnished to DMA. The file currently shows a maximum of 10 recorded Modifications. Each Modification has a specific type as indicated:

• Type 1 is a Bed Addition.
  • The data input is the year the additional nursing facility beds were added and the number of nursing facility beds added.
• Type 2 is a Bed Replacement.
  • The data input is the year the nursing facility beds were replaced and the number of nursing facility beds replaced.
• Type 3 is a Renovation.
  • The data input is the year in which the nursing facility renovation was completed and the nursing facility dollar amount of the renovation.

All Free-Standing and Hospital Based Nursing Facilities are required to complete and submit the North Carolina Medicaid Capital Data Survey 2006 to DMA no later than March 31, 2007.

• Input Form for Capital Data Survey 2006 - Important Notce
• Input Form for Capital Data Survey 2006
• Input Form for Capital Data Survey 2006 Instructions

Point of Contact: Lynne Testa, DMA Rate Setting, 919-855-4195