# N.D. Cent. Code § 50-24.4-06: 50-24.4-06. Rate determination

> North Dakota · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-06

## Section

- **Citation:** N.D. Cent. Code § 50-24.4-06
- **Heading:** 50-24.4-06. Rate determination
- **Jurisdiction:** North Dakota
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** ND Code / Title 50 / Chapter 50-24.4 / Section 50-24.4-06

## Text

50-24.4-06. Rate determination

1. The department shall determine prospective payment rates for resident care costs.

The department shall develop procedures for determining operating cost payment

rates that take into account the mix of resident needs and other factors as determined

by the department.

2. The department shall establish, by rule, limitations on compensation recognized in the

historical base for top management personnel. Compensation for top management

personnel must be categorized as a general and administrative cost and is subject to

any limits imposed on that cost category.

3. For purposes of determining rates, the department shall:

a. Include, contingent upon approval of the Medicaid state plan by the centers for

Medicare and Medicaid services, allowable bad debt expenses in an amount not

to exceed one hundred eighty days of resident care per year or an aggregate of

three hundred sixty days of resident care for any one individual; and

b. Include allowable bad debt expenses in the property cost category in the report

year in which the bad debt is determined to be uncollectible with no likelihood of

future recovery.

c. Notwithstanding section 50-24.4-07, include as an allowable cost any tax paid by

a basic care or nursing facility due to provisions of the federal Patient Protection

and Affordable Care Act [Pub. L. 111-148], as amended by the Health Care and

Education Reconciliation Act of 2010 [Pub. L. 111-152].

## Nearby sections

- [N.D. Cent. Code § 50-24.4-01 50-24.4-01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-01.md)
- [N.D. Cent. Code § 50-24.4-01.1 50-24.4-01.1. Nursing home resident payment classifications - Procedures for reconsideration](https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-01.1.md)
- [N.D. Cent. Code § 50-24.4-02 50-24.4-02. Authority](https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-02.md)
- [N.D. Cent. Code § 50-24.4-03 50-24.4-03. Federal requirements - Supremacy](https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-03.md)
- [N.D. Cent. Code § 50-24.4-04 50-24.4-04. Payment rates](https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-04.md)
- [N.D. Cent. Code § 50-24.4-05 50-24.4-05. Requirements](https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-05.md)
- [N.D. Cent. Code § 50-24.4-06 50-24.4-06. Rate determination](https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-06.md)
- [N.D. Cent. Code § 50-24.4-07 50-24.4-07. Nonallowable costs](https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-07.md)
- [N.D. Cent. Code § 50-24.4-08 50-24.4-08. Notice of increases to private-paying residents](https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-08.md)
- [N.D. Cent. Code § 50-24.4-09 50-24.4-09. Interim rates](https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-09.md)
- [N.D. Cent. Code § 50-24.4-10 50-24.4-10. Operating costs](https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-10.md)
- [N.D. Cent. Code § 50-24.4-11 50-24.4-11. Adjustment of historical operating costs](https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-11.md)
- [N.D. Cent. Code § 50-24.4-12 50-24.4-12. Avoiding detrimental effect on quality of care](https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-12.md)
- [N.D. Cent. Code § 50-24.4-13 50-24.4-13. Exclusion](https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-13.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_ND_T50_C50-24.4_S50-24.4-06. Check the current official text before relying on it. Not legal advice.