Chapter DHS 122

DHS 122.09(3)(a)1. 1. A cost overrun resulting from the actual inflation rate which exceeds the rate projected in the approved application or is less than 10% of the approved project cost or $300,000, whichever is greater, shall be subject to a forfeiture equal to 10% of the overrun;

DHS 122.09(3)(a)2. 2. A cost overrun which is more than 10% or more of the project cost or $300,000, whichever is greater, shall be subject to a forfeiture equal to 15% of the overrun; and

DHS 122.09(3)(a)3. 3. If a person incurs a second cost overrun on an approved project, the department shall assess a forfeiture equal to 30% of the overrun.

DHS 122.09(3)(b) (b) Where a project is subsequently approved after being initiated without departmental approval, the person operating the project shall be subject to a single forfeiture using the following schedule:

DHS 122.09(3)(b)1. 1. For an expenditure greater than $600,000 but no more than $660,000, the person operating the project shall pay a forfeiture equal to 10% of the expenditure exceeding $600,000;

DHS 122.09(3)(b)2. 2. For an expenditure greater than $660,000 but no more than $900,000, the person operating the project shall pay a forfeiture equal to 15% of the expenditure exceeding $660,000, plus the dollar amount specified in subd. 1.; and

DHS 122.09(3)(b)3. 3. For an expenditure greater than $900,000, the person operating the project shall pay a forfeiture equal to 50% of the expenditure exceeding $900,000, plus the dollar amounts specified in subds. 1. and 2.

DHS 122.09(3)(c) (c)

DHS 122.09(3)(c)1. 1. The department may not approve a project subject to a forfeiture under par. (a) or (b) until the forfeiture has been paid.

DHS 122.09(3)(c)2. 2. The department may not subsequently approve a project which was initiated without departmental approval and which involved construction of space designed to be utilized for a future FDD or other nursing home or to increase the bed capacity of a FDD or other nursing home.

DHS 122.09(4) (4) Repeat violations.

DHS 122.09(4)(a) (a) The department shall reject an application for approval of a project from any person who has incurred 2 penalties under this chapter within a 5-year period, except for penalties assessed for cost overruns caused by the actual inflation rate exceeding the inflation rate stated in the original application or caused by code corrections mandated by the department as part of an approved plan of correction issued after the original approval.

DHS 122.09(4)(b) (b) The department shall impose deadlines for compliance with any approval granted to a repeat violator. Failure to meet the deadlines shall result in voiding of the approval.

DHS 122.09(5) (5) Medical assistance linkage.

DHS 122.09(5)(a) (a)

DHS 122.09(5)(a)1. 1. Any person submitting an application under this chapter shall state in the application the medical assistance rates anticipated for the first full year of operation following completion of the project or licensure of new beds. These rates shall be the maximum allowable reimbursement granted by the department for the first full year of operation. If the medical assistance facility reimbursement formula generates per diem rates which are less than those stated in the application, the lower rates shall prevail.

DHS 122.09(5)(a)2. 2. For the purposes of rate calculations for renovation projects, the useful building life used for depreciation shall be the same as that stated in the application in s. DHS 122.07 (1) (c) 2. for calculating equivalent cost per bed. The useful life selected shall remain constant for the life of the building.

DHS 122.09(5)(b) (b) Any person submitting an application for approval of a cost overrun under sub. (2) (c) shall state the impact on medical assistance per diem rates stated in the original application. If approved, the rates in the new application shall be the medical assistance per diem rates for the first full year of operation following completion of the project or licensure of new beds.

DHS 122.09(6) (6) Transfer of approval. An approval is issued in the name of the person submitting an application. Any person who takes a partner after receiving a project approval shall retain an equal or greater financial interest in the project for the approval to remain valid. The sale, lease or donation of a nursing home before the completion or licensure of a project at that nursing home voids the approval.

DHS 122.09(7) (7) Validity of approval.

DHS 122.09(7)(a) (a) An approval is valid for one year from the date of issuance unless extended under sub. (8).

DHS 122.09(7)(b) (b) The department shall revoke an approval at the end of the period of validity of an approval if the status reports required under sub. (1) indicate that financing in an amount sufficient to complete the project has not been obtained, an obligation has not been incurred for the entire project or 20% of the approved project cost, including fees, has not been spent. An approval holder has obtained financing in an amount sufficient to complete the project when:

DHS 122.09(7)(b)1. 1. The interim or long-term mortgage has been executed by all parties, and the proceeds are available to the borrower in an amount sufficient to complete the project; or

DHS 122.09(7)(b)2. 2. The bonds have been sold, either publicly or privately, and the proceeds are available to the borrower in an amount sufficient to complete the project.

DHS 122.09(8) (8) Request for extension of project validity.

DHS 122.09(8)(a) (a) A person may request an extension of up to 6 months in the period of validity of an approval. The request shall include documentation of the following:

DHS 122.09(8)(a)1. 1. Names of all contractors, subcontractors or suppliers against whom a job action was incurred or a bankruptcy was filed;

DHS 122.09(8)(a)2. 2. Dates on which bankruptcies or strikes occurred and the resulting length of delay in project implementation, and dates on which a fire or natural disaster occurred, the extent of damage, and the resulting length of delay in project implementation; and

DHS 122.09(8)(a)3. 3. Any cost overruns anticipated as a result of the extension.

DHS 122.09(8)(b) (b) Cost overruns on projects for which an extension has been granted shall be reviewed in the manner described in s. DHS 122.06 (10).

DHS 122.09(8)(c) (c) The department may grant an extension only if the project is significantly delayed or damaged by fire or natural disaster, or if a strike against or bankruptcy of a contractor, subcontractor or major supplier previously committed to the project occurs.

DHS 122.09 History History: Cr. Register, March, 1985, No. 351, eff. 4-1-85; am. (7) (b) (intro.), Register, January, 1987, No. 373, eff. 2-1-87; r. (3) (b) 2., renum. (3) (b) 1. intro. to c. to be (b) (intro.) to 3., am. (3) (c) 1. and (5) (a) 1., Register, January, 1991, No. 421, eff. 2-1-91.