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Title: Section 86-2.1 - Definitions

Effective Date


Section 86-2.1 Definitions. As used in this Subpart, the following definitions shall apply:

(a) Residential health care facility, medical facility or facility shall mean all facilities or organizations covered by the term nursing home as defined in article 28 of the Public Health Law, including hospital-based residential health care facilities, and nursing facilities as defined in section 1919 of the Federal Social Security Act, provided that such facility possesses a valid operating certificate issued by the State Commissioner of Health and, where required, has been established by the Public Health Council.

(b) Patient classification groups shall mean patient categories contained in the classification system, Resource Utilization Groups-II (RUG-II), which identifies the relative resource consumption required by different types of long-term care patients as specified in Appendix 13-A, infra.

(c) Case mix shall mean the patient population of a facility as classified and aggregated into patient classification groups.


VOLUME A-2 (Title 10)