OAR 411-070-0335
Related Party Transactions


(1)

Costs applicable to services and supplies furnished to a provider by organizations related to the provider by common ownership or control are allowable at the lower of cost excluding profits and markups to the related party or charge to the facility. Such costs are allowable to the extent that they relate to resident care, are reasonable, ordinary, and necessary, and are not in excess of those costs incurred by a prudent cost-conscious buyer. Documentation of costs to related parties (including those identified in OAR 411-070-0330 (Owner Compensation)(10) must be made available at time of audit. If documentation is not available, such payments to or for the benefit of the related organization will be non-allowable costs.

(2)

An exception is provided to the general rule in section (1) of this rule applicable to related organizations. The exception applies if the provider demonstrates by convincing evidence to the satisfaction of the Department:

(a)

That the supplying organization is a separate legal entity; and

(b)

That a substantial part of the supplying organization’s business activity, of the type carried on with the provider, is transacted with other organizations not related to the provider and the supplier by common ownership or control and there is an open, competitive market. Prices paid by the provider may not be in excess of what would be paid by a prudent cost conscious buyer.

(3)

If the provider takes the position that an exception as stated in section (2) of this rule applies, then the provider must:

(a)

Make available the books and records of the related organization to SPD auditors; and

(b)

Maintain a receiving report signed by personnel of the nursing facility for services or supplies furnished by the related organization.

(4)

Rental expense paid to related organizations for facilities may be allowable to the extent the rental does not exceed the related organization’s costs of owning (e.g., depreciation, interest on a mortgage) or leasing the assets, computed in accordance with the provisions of these rules. The exception listed in section (2) of this rule does not apply to rental expense paid for facilities.

Source: Rule 411-070-0335 — Related Party Transactions, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=411-070-0335.

411‑070‑0000
Purpose
411‑070‑0005
Definitions
411‑070‑0010
Conditions for Payment
411‑070‑0015
Denial, Termination or Non-Renewal of Provider Agreement
411‑070‑0020
On-Site Reviews
411‑070‑0025
Basic Flat Rate Payment (Basic Rate)
411‑070‑0027
Complex Medical Add-On Payment
411‑070‑0028
Bariatric Authorization and Payment
411‑070‑0029
Pediatric Rate
411‑070‑0033
Post Hospital Extended Care Benefit
411‑070‑0035
Complex Medical Add-On Effective Start and End Dates and Administrative Review
411‑070‑0040
Screening, Assessment, and Resident Review
411‑070‑0043
Pre-Admission Screening and Resident Review (PASRR)
411‑070‑0045
Facility Payments
411‑070‑0050
Days Chargeable
411‑070‑0075
Rates - Facilities in Oregon
411‑070‑0080
Out-of-State Rates
411‑070‑0085
Bundled Rate
411‑070‑0087
Bariatric Criteria and Services
411‑070‑0091
Complex Medical Add-On Services
411‑070‑0092
Ventilator Assisted Program - Medicaid Payment
411‑070‑0095
Resident Funds
411‑070‑0100
Audit of Personal Incidental Funds
411‑070‑0105
Resident Property Records
411‑070‑0110
Temporary Absence from Facility (Bedhold)
411‑070‑0115
Transfer of Residents
411‑070‑0120
Discharge of Residents
411‑070‑0125
Medicare, (Title XVIII)
411‑070‑0130
Medicaid Payment in Hospitals
411‑070‑0140
Hospice Services
411‑070‑0300
Filing of Financial Statement
411‑070‑0302
Filing of Revised Financial Statements
411‑070‑0305
Accounting and Record Keeping
411‑070‑0310
Auditing
411‑070‑0315
Maximum Allowable Compensation of Administrator
411‑070‑0320
Consultants
411‑070‑0330
Owner Compensation
411‑070‑0335
Related Party Transactions
411‑070‑0340
Chain Operations
411‑070‑0345
Allocation of Home Office and Regional Office Costs
411‑070‑0350
Management Fees
411‑070‑0359
Allowable Costs
411‑070‑0365
Capital Assets
411‑070‑0370
Depreciable Assets
411‑070‑0375
Depreciation Basis
411‑070‑0385
Depreciation Lives
411‑070‑0400
Equity
411‑070‑0415
Offset Income
411‑070‑0417
Treatment of Complex Medical Add-Ons
411‑070‑0420
Base Year Cost Finding
411‑070‑0425
Resident Days
411‑070‑0430
Allocation Methods
411‑070‑0435
Appeals
411‑070‑0437
Quality and Efficiency Incentive Program
411‑070‑0439
COVID-19 Emergency Response Incentive Program
411‑070‑0442
Calculation of the Basic Rate, Complex Medical Rate, Bariatric Rate and Ventilator Assisted Program Rate
411‑070‑0452
Pediatric Nursing Facilities
411‑070‑0464
Final Report
411‑070‑0465
Uniform Chart of Accounts
411‑070‑0470
Nursing Assistant Training and Competency Evaluation Programs Request for Reimbursement
Last Updated

Jun. 8, 2021

Rule 411-070-0335’s source at or​.us