R414-516-5. Construction and Renovation

  A program may earn up to seven QI points by constructing or renovating its physical facility or increasing access to care by providing services in a rural county as follows:

  (1) Constructing or renovating its physical facility:

  (a) A program may earn seven QI points for having a FRV facility age of eight years or less;

  (b) A program may earn five QI points for having a FRV facility age of fifteen years or less;

  (c) A program may earn up to four QI points for using a percentage of UPL monies on facility renovations. The percentage is calculated by dividing the monies spent on a major renovation, replacement beds, or additional beds as reported in the program's audited FRV Data Report as described in the Attachment 4.19-D of the Medicaid State Plan, (numerator) by the amount of NF NSGO UPL monies paid in the same period as the FRV Data Reported renovation project (denominator).

  (i) A program may earn four QI points for using greater than 75 percent of UPL monies.

  (ii) A program may earn two QI points for using greater than 50 percent of UPL monies.

  (2) Access to care by providing services to Medicaid members in a rural county.

  (a) A program located in a county other than Cache, Davis, Salt Lake, Utah, Washington, or Weber may receive one QI point.

  (b) A program located in an area where no other Utah Medicaid-certified nursing facility is within a 35-mile radius may receive one QI point.