Attachment 4.19-D Methods and Standards for Payment Rates – Skilled Nursing and Intermediate Care Facility Services 

Supplements to Attachment 4.19-D

Supplement 2  Study to Determine Subacute Cost-Based Reimbursement
Supplement 4  Methods & Standards for Establishing Facility-Specific Reimbursement Rates For Freestanding Nursing Facilities 
Supplement 5  One-time Supplemental Payment for ICF-DD Providers

Supplement 6 Skilled Nursing Facility Workforce Standards Program

Appendix to Attachment 4.19-D 

Appendix 2 
Appendix 3 
Appendix A 
Appendix B 
Appendix C 
Appendix D