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Super-Liability Individuals
Super-Liability individuals are clients whose SOC exceeds the monthly cost of care at the MC reimbursement rate. If an EW believes an applicant may have a super liability, contact the MC Program Coordinator through the MC Liaison for procedures.
Note: Super-Liability only exists for individuals who were in a nursing facility for a full calendar month.
Super-Liability Determination
To determine the monthly reimbursement rate, the EW must multiply the specific county per diem rate by the number of days in the month. If the client’s SOC exceeds the monthly rate, the client has a super-liability.
Contact the nursing facility to determine the level of care that the client receives to determine the per diem rate as charted below.
Per Diem Chart Rates
The Nursing Facility/LTC per diem rates are as follows:
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Facility Level |
Daily Rate |
Monthly Rates |
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A |
$99.38 |
30-day month |
$2,981.40 |
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B |
1-59 beds |
$137.95 |
30-day month |
$4,138.50 |
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31-day month |
$4,276.45 |
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60+ beds |
$146.81 |
30-day month |
$4,404.30 |
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31-day month |
$4,551.11 |
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Distinct Part Facility |
$310.68 |
30-day month |
$9320.40 |
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31-day month |
$9,631.08 |
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Super Liability Example
In the month of September, in Santa Clara County, Mr. Jones was in a nursing facility and had a SOC of $5,000. According to the facility, Mr. Jones was provided with a LEVEL B of care in a facility with 38 beds. The reimbursement rate is computed as follows:
|
Santa Clara County per diem rate (NF 1-59 Beds) |
$137.95 |
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Multiply by the number of days in the month of September (September is a 30-day month) |
X 30 |
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September monthly reimbursement rate |
$4,138.50 |
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Mr. Jones SOC in September 2005 |
$5,000.00 |
In this situation, since Mr. Jones had a SOC of $5,000 which is higher than the monthly reimbursement rate of $4,138.50, Mr. Jones is determined to have a Super-liability case.
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