District Of Columbia § 47-1261 - Definitions.
Full text of District Of Columbia D.C. Code § 47-1261 — Definitions., with citation guidance and answers to common questions.
§ 47-1261. Definitions.
47-1261For the purposes of this chapter, the term:
“Case mix reimbursement methodology” means a prospective Medicaid payment rate system for nursing facilities that includes:
A point-of-sale prescription system;
A resident classification system based on resident acuity and needs; and
The following 3 peer groupings for rate purposes:
All freestanding nursing facilities, except those owned by the District of Columbia;
All hospital-based nursing facilities; and
All nursing facilities owned by the District of Columbia.
“Fiscal year” means the 12-month accounting period of the District of Columbia beginning on October 1 and ending on September 30 of the next year.
“Fund” means the Nursing Facility Quality of Care Fund established by this chapter.
“Gross resident revenue” means the sum of resident charges, ancillary service charges, and other charges related to the provision of services to residents.
“Medicaid” means the medical assistance programs authorized by title XIX of the Social Security Act, approved July 30, 1965 (79 Stat. 343; 42 U.S.C. § 1396 et seq.), and by [], and administered by the Department of Health.
“Net resident revenue” means gross resident revenue less deductions resulting from a nursing facility’s inability to collect full payment of its established charges to residents. The deductions include:
Bad debts;
Contractual adjustments, including the difference between the amount that would be realized at the nursing facility’s established charges and the amount actually received pursuant to contractual agreements entered into to receive Medicare payments, Medicaid payments, Blue Cross or Blue Shield plan payments, or other third-party payments;
Uncompensated or charity care; and
Administrative, courtesy, and policy discounts and adjustments.
“Nursing facility” means a health care facility as defined in and codified at , but does not include a health care facility operated by the federal government.
“Quality of care initiatives” means initiatives that include a case mix reimbursement methodology, reimbursement of the costs of the audit required by , and, to the extent that amounts in the Fund remain, other programs designed to promote and foster the improved care, safety, and health of residents in Medicaid-certified nursing facilities.
“Resident” means a person receiving services in a nursing facility.
“Superior Court” means the Superior Court of the District of Columbia.
Annotations
Source: official District Of Columbia text · Last verified 2026-08-27
Frequently Asked Questions About District Of Columbia § 47-1261
What does D.C. Code § 47-1261 cover?
Section 47-1261 ("Definitions.") is part of the D.C. Code, the codified statutory law of District Of Columbia. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite District Of Columbia § 47-1261?
A common citation format is "D.C. Code § 47-1261" (District Of Columbia). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of District Of Columbia law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the District Of Columbia official source linked on this page or consult a licensed District Of Columbia attorney.
How does District Of Columbia § 47-1261 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in District Of Columbia can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in District Of Columbia.