Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999

[AI summary unavailable — showing source text] Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 - Title I: Provisions Relating to Part A - Subtitle A: Adjustments to PPS Payments for Skilled Nursing Facilities - Provides that, for computing payments for covered skilled nursing facility (SNF) services furnished under title XVIII (Medicare) of the Social Security Act (SSA) on or after April 1, 2000, and before a described date, the Secretary of Health and Human Services (HHS) shall increase by 20 percent the adjusted Federal per diem rate otherwise determined for covered SNF services for certain RUG-III groups furnished to an individual during the period in which such individual is classified in such an RUG-III category. (Sec. 101) Provides that for purposes of computing Medicare payments for covered SNF services furnished during FY 2001 and 2002, the Secretary shall increase by four percent for each such fiscal year the adjusted Federal per diem rate. Prohibits the Secretary from including such additional payment in updating the Federal per diem rate. (Sec. 102) Permits a SNF to elect to have the amount of the payment for all costs of covered SNF services for each day of such services furnished in cost report…