SPIRO T. AGNEW, Governor                               531

10.01.04.03   Special Health Services

General Fund Appropriation........ 671,587

Federal Fund Appropriation, pro- 663,837
vided that grants in excess of
this estimate may be made avail-
able by approved budget amend-
ment .............................................. 3,560,559 4,232,146

-------------- 4,224,396

10.01.04.04   Medical Assistance Program

General Fund Appropriation ........ 46,949,203

Special Fund Appropriation, pro-
vided that revenues in excess of
this estimate may be made avail-
able by approved budget amend-
ment .............................................. 3,215,618 50,164,821

TO PROVIDE FOR PAYMENTS FOR NURSING HOME CARE IN
EXTENDED CARE FACILITIES AND LICENSED NURSING HOMES,
PROVIDED THOSE HOMES QUALIFY AS SKILLED NURSING
HOMES UNDER THE REGULATIONS PROMULGATED BY THE U.S.
DEPARTMENT OF HEALTH, EDUCATION AND WELFARE UNDER
TITLE XIX OF PUBLIC LAW 89-97 (MEDICAID), SUCH NURSING
HOMES AND EXTENDED CARE FACILITIES SHALL BE REIM-
BURSED ON THE FOLLOWING BASIS: VERIFIED AUDITED 'COST'
AS THAT TERM IS DETERMINED BY THE SECRETARY OF
HEALTH, EDUCATION AND WELFARE IN THE ADMINISTRATION
OF TITLE XVIII OF THE SOCIAL SECURITY ACT AMENDMENTS
OF 1965 (NOT TO EXCEED $12.00 PER DAY PER PATIENT); PLUS
AN ADDITIONAL SUM. TO BE DETERMINED BY THE DEPART-
MENT OF PUBLIC WORKS. TO PROVIDE A RETURN GREATER
THAN THAT CUSTOMARILY EARNED BY PUBLIC SERVICE AND
PUBLIC UTILITY COMPANIES. IN DETERMINING SUCH ADDI-
TIONAL SUM THE DEPARTMENT OF PUBLIC WORKS SHALL
TAKE INTO ACCOUNT SUCH COSTS AS: AMORTIZATION, RE-
PLACEMENT AND/OR MODERNIZATION OF PLANTS, BUILDINGS
AND EQUIPMENT, REASONABLE ADMINISTRATIVE COSTS,
REASONABLE RENTALS, REASONABLE INTEREST PAYMENTS
FOR LOANS BY PROVIDERS, AND OTHER LAWFUL BUSINESS
EXPENSES NOT SPECIFICALLY ALLOWED BY THE SECRETARY
OF HEALTH, EDUCATION AND WELFARE, PLUS A PROFIT OF

NOT LESS THAN 10% OF TOTAL COSTS (INCLUDING THOSE

COSTS DETERMINED BY THE DEPARTMENT OF PUBLIC WORKS).
HOMES NOT SUBMITTING AUDITED COSTS AND HOMES NOT
QUALIFIED TO PARTICIPATE UNDER TITLE XIX OF PUBLIC
LAW 89-97 SHALL BE REIMBURSED AT A RATE NOT TO EXCEED
$7.00 PER DAY PER PATIENT.

PAYMENTS HEREUNDER ARE AUTHORIZED NOT TO EXCEED
$12.00 PER DAY PER PATIENT, FOR NURSING HOME CARE IN
EXTENDED CARE FACILITIES AND LICENSED NURSING HOMES,
PROVIDED THOSE HOMES QUALIFY AS SKILLED NURSING
HOMES UNDER THE REGULATIONS PROMULGATED BY THE
U. S. DEPARTMENT OF HEALTH, EDUCATION AND WELFARE
UNDER TITLE XIX OF PUBLIC LAW 89-97 (MEDICAID), SUCH
NURSING HOMES AND EXTENDED CARE FACILITIES SHALL