Long-term care home level-of-care per diem funding summary
A summary of the current base level-of-care per diem funding as of April 1, 2021. The funding amounts in each funding components (envelopes) are set by the Ministry of Long-Term Care.
Overview
The following is a summary of the current base Level-of-Care (LOC) per diem funding as of April 1, 2022 (CMI = 1.0). The funding amounts in each envelope are set by the Ministry of Long-Term Care:
| Envelope | Level-of-care (LOC) per diem | Supplementary per diem | Total |
|---|---|---|---|
| Nursing and personal care (NPC) | $101.76 | $2.12 | $103.88 |
| Program and support services (PSS) | $12.24 | n/a | $12.24 |
| Nutritional Support (NS) | $11.00 | n/a | $11.00 |
| Other accommodations (OA) | $56.16 | $0.36 | $56.52 |
| Total | $181.16 | $2.48 | $183.64 |
Level-of-care (LOC) per diem increase
| Envelope | Prior global per diem March 31, 2022 | LOC increase effective April 1, 2022 | Total |
|---|---|---|---|
| Total 2022-2023 Global Increase | $7.27 | $0.11 | $7.38 |
| 2021-2022 Total LOC and Global Per Diem | n/a | n/a | $191.02 |
In addition to the level-of-care per diem funding above, top-up funding is provided for the following beds:
Small homes (with 64 or fewer licensed or approved beds)
Small homes with 64 or fewer licensed or approved beds receive the following annual direct care staffing supplement in accordance with the Long-Term Care Homes Level-of-Care Per Diem, Occupancy and Acuity-Adjustment Funding Policy.
| Top-up funding | Total |
|---|---|
| Annual staffing supplement – NPC direct care | $180,000 |
Long-term care homes with 65 or more licensed or approved beds
Long-term care homes with 65 or more licensed or approved beds receive the following annual direct care staffing supplement in accordance with the Long-Term Care Homes Level-of-Care Per Diem, Occupancy and Acuity-Adjustment Funding Policy.
| Top-up funding | Total |
|---|---|
| Annual staffing supplement – NPC direct care | $106,000 |
Convalescent care beds - additional subsidy
Convalescent care beds receive an additional subsidy per diem (Additional Subsidy) allocated between three funding envelopes as follows:
| Top-up funding | Nursing and personal care (NPC) | Program and support services (PSS) | Other accommodations (OA) | Total |
|---|---|---|---|---|
| Additional subsidy per diem | $54.30 | $35.29 | $6.75 | $96.34 |
Behavioural specialized unit (BSU) beds
Long-term care homes with BSU beds receive the following top-up of $150 per diem for each BSU bed.
| Top-up funding | Total |
|---|---|
| BSU per diem | $152.63 |
Basic Accommodation Premium (BAP)
BAP funding is provided to an eligible licensee who expands access to basic accommodation as part of a development or redevelopment project in accordance with the Long-Term Care Home Capital Development Funding Policy, 2020 (2020 CFS). BAP funding of $2.44 per diem will be paid to an eligible licensee for all 2020 CFS-eligible beds in the home only if 50% or more of the beds in the home are offered as basic accommodation. BAP funding is allocated as a supplementary per diem in the Other Accommodation envelope.
| Top-up funding | Total |
|---|---|
| Basic accommodation premium (BAP) - Other Accommodation | $2.44 |
Please see the Long-Term Care Homes Level-of-Care Per Diem, Occupancy and Acuity-Adjustment Funding Policy for further details on the level-of-care per diem and top-up funding.
Footnotes
- footnote[1] Back to paragraph The supplementary per diem of $2.12 is comprised of $0.66 (HINF-NPC) plus $1.46 (RAI-MDS).
- footnote[2] Back to paragraph Effective April 1, 2019, a global per diem increase to the level-of-care per diem funding was provided to LTC homes to enhance direct care services as well as to support other operating costs within any of the four envelopes. LTC homes may allocate up to 32% of the global per diem funding amount to the Other Accommodation envelope. The greater of the remaining balance or 68% of the global per diem funding amount must be applied against eligible expenditures in the NPC, PSS, and Nutritional Support (NS) envelopes. This amount will not be adjusted by the Case Mix Index.
- footnote[3] Back to paragraph Small long-term care homes with 64 or fewer licensed or approved beds may use the combined amount of $180,000 per year to hire and retain any direct care staff in the NPC envelope. The combined amount of $180,000 per year consists of: the prior RN funding of $79,552 increased to the annual amount of $106,000 per year, the prior registered practical nurses (RPN) funding of $69,471 per year and effective April 1, 2019 a top-up of $4,529 per year.
- footnote[4] Back to paragraph Long-term care homes with 65 or more licensed or approved beds may use the annual staffing supplement, which consists of the prior RN funding of $79,552 increased to the annual amount of $106,000 per year, to hire and retain any direct care staff in the NPC envelope.
- footnote[5] Back to paragraph Effective April 1, 2019, the additional physiotherapy subsidy of $11.34 per diem, as referenced in the Long-Term Care Home Physiotherapy Funding Policy Summary, was embedded in the PSS envelope.
- footnote[6] Back to paragraph The BSU per diem top-up funding applies to only BSUs designated upon the director’s own initiative per O. Reg. 246/22 under the Fixing Long-Term Care Act, 2021.