Compilation of Rules and Regulations of the State of Georgia
Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH
Chapter 111-3 - MEDICAL ASSISTANCE
Subject 111-3-12 - RULES AND REGULATIONS FOR HOSPITAL CARE FOR THE INDIGENT
Rule 111-3-12-.07 - Method for Approval of Participating Hospitals
Universal Citation: GA Rules and Regs r 111-3-12-.07
Current through Rules and Regulations filed through September 23, 2024
(1) Procedure for Becoming a Participating Hospital:
(a) Prerequisite to any hospital becoming a Participating Hospital under the Program, the governing authority of the hospital must elect to participate in the Program.
(b) In expressing the desire of the hospital to participate in the Program, a responsible officer of the hospital shall complete a standard application form and shall submit such application to the Georgia Department of Community Health.
(c) A hospital once approved will continue as a Participating Hospital until it voluntarily withdraws or its approval is revoked.
(2) Requirements for Becoming a Participating Hospital:
(a) To be eligible to participate in the Program, a hospital must have a physician as chief of staff and must have been issued a current licensure permit, either annual or provisional, under authority of the Georgia Hospital Regulations Act No. 623, Georgia Laws, 1946.
(b) Any hospital electing to participate in the Program must select one of the two following methods of payment for hospital care that it renders:
1. A calculated per diem related to the non-profit basic cost;
2. A fixed sum not to exceed ten dollars ($10.00) per patient-day of care.
(c) Any hospital selecting method (b) 1. above must submit appropriate accounting data necessary to substantiate a "non-profit basic cost".
(3) Lists of Participating Hospitals. The Georgia Department of Community Health shall maintain a roster of hospitals participating in the Program and shall furnish a list of such hospitals to each County Board of Health annually or more frequently if justified by the volume of changes.
(4) Discontinuance as a Participating Hospital:
(a) A participating Hospital has the right to withdraw from the Program at any time, after proper notice of this intent to the Georgia Department of Community Health, provided that the rights of patients are not jeopardized.
(b) Should a Participating Hospital, at some future date, fail to comply with the Act and the Regulations thereunder, the Georgia Department of Community Health shall remove the hospital from the roster of participating hospitals and shall advise the hospital concerned and the County Board of Health in each participating county that the hospital is no longer a Participating Hospital under the Program.
(5) Calculating the Per Diem Rate:
(a) The non-profit basic cost shall be determined from an analysis of the hospital's financial records and reports, and all submitted cost statements must bear the certification of a qualified auditor who is not an employee of the hospital.
(b) The Georgia Department of Community Health shall establish for each Participating Hospital an official per diem rate, which shall be an established percentage of the non-profit basic cost.
(c) The method of calculation of the official per diem rate for this Program shall be in harmony with the policies of other medical care programs under the sponsorship of the State of Georgia.
(d) By electing the calculated per diem method, the hospital grants to the Georgia Department of Community Health the right to audit its financial records and the right to inform counties of its per diem rate.
(e) For any Participating Hospital, the official per diem rate shall not exceed the average patient-day income for the hospital.
Ga. L. 1933, p. 7; O.C.G.A. § 31-8-1et seq.
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