# COMAR 10.09.10.10: COMAR 10.09.10.10. Rate Calculation — Other Patient Care Costs > Maryland · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_10 ## Section - **Citation:** COMAR 10.09.10.10 - **Heading:** COMAR 10.09.10.10. Rate Calculation — Other Patient Care Costs - **Jurisdiction:** Maryland - **Kind:** Regulations - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** Code of Maryland Regulations / Title 10 MARYLAND DEPARTMENT OF HEALTH / Subtitle 09 MEDICAL CARE PROGRAMS / Chapter 10 Nursing Facility Services / COMAR 10.09.10.10 ## Text A. The Other Patient Care cost center includes: (1) Medical director administrative expenses; (2) Pharmacy; (3) Recreational activities; (4) Patient care consultant services; (5) Food cost (unprepared); (6) Social services; and (7) Religious services. B. The Department shall initially establish Other Patient Care prices for the rate period January 1, 2015, through June 30, 2015, and thereafter rebase the Other Patient Care prices between every 2 and 4 rate years. Prices may be rebased more frequently if the Department determines that there is an error in the data or in the calculation that results in a substantial difference in payment, or if a significant change in provider behavior or costs has resulted in payment that is inequitable across providers. The Department shall rebase based on the following steps: (1) The indexed costs shall be calculated as set forth in Regulation .09B(1)—(3) of this chapter; (2) Each cost report's indexed Other Patient Care costs shall be divided by the actual days of nursing facility services to arrive at the Other Patient Care cost per diem; (3) For each reimbursement class, each cost report's Medicaid resident days shall be used in the array of Other Patient Care cost per diems identified in §B(2) of this regulation to calculate the Other Patient Care Medicaid day weighted median using the method established in Regulation .09B(5) of this chapter ; (4) The final price for Other Patient Care costs for each reimbursement class is calculated as the geographic regional Medicaid day weighted median multiplied by 1.07; and (5) For years between periods when the prices are rebased, the final price for Other Patient Care costs shall be calculated as set forth in Regulation .09D of this chapter . C. The final Other Patient Care rate for each nursing facility is the Other Patient Care price for its reimbursement class. D. The reimbursement classes for the Other Patient Care cost center are specified under Regulation .30B of this chapter . E. Kosher Kitchen Add-on. are rebased, the final price for Other Patient Care costs shall be calculated as set forth in Regulation .09D of this chapter . C. The final Other Patient Care rate for each nursing facility is the Other Patient Care price for its reimbursement class. D. The reimbursement classes for the Other Patient Care cost center are specified under Regulation .30B of this chapter . E. Kosher Kitchen Add-on. (1) Nursing facilities that maintain kosher kitchens and have Other Patient Care costs in excess of the Other Patient Care price in its reimbursement class that are attributable to food costs shall receive an add-on to its final price an amount up to 15 percent of the median per diem cost for food costs in its reimbursement class. (2) For years between periods when the kosher kitchen add-ons are rebased, the kosher kitchen add-on shall be calculated as the prior year kosher kitchen add-on multiplied by the rate year monthly index divided by the prior year monthly index as identified in Regulation .09B(3)(a) of this chapter . Cross References 10.09.10.01B(35)(b) ## Nearby sections - [COMAR 10.09.10.01 COMAR 10.09.10.01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_01.md) - [COMAR 10.09.10.02 COMAR 10.09.10.02. License Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_02.md) - [COMAR 10.09.10.03 COMAR 10.09.10.03. Conditions for Participation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_03.md) - [COMAR 10.09.10.04 COMAR 10.09.10.04. Covered Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_04.md) - [COMAR 10.09.10.05 COMAR 10.09.10.05. Limitations](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_05.md) - [COMAR 10.09.10.06 COMAR 10.09.10.06. Preauthorization Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_06.md) - [COMAR 10.09.10.07 COMAR 10.09.10.07. Prospective Rates](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_07.md) - [COMAR 10.09.10.08 COMAR 10.09.10.08. Interim Working Capital Fund](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_08.md) - [COMAR 10.09.10.09 COMAR 10.09.10.09. Rate Calculation — Administrative and Routine Costs](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_09.md) - [COMAR 10.09.10.10 COMAR 10.09.10.10. Rate Calculation — Other Patient Care Costs](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_10.md) - [COMAR 10.09.10.11 COMAR 10.09.10.11. Rate Calculation — Capital Costs](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_11.md) - [COMAR 10.09.10.12 COMAR 10.09.10.12. Rate Calculation — Nursing Service Costs](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_12.md) - [COMAR 10.09.10.13 COMAR 10.09.10.13. Ventilator Care Nursing Facilities](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_13.md) - [COMAR 10.09.10.14 COMAR 10.09.10.14. Pay-for-Performance — Eligibility](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_14.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_10_10. Check the current official text before relying on it. Not legal advice.