Compilation of Rules and Regulations of the State of Georgia
Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH
Chapter 111-3 - MEDICAL ASSISTANCE
Subject 111-3-9 - HOSPITAL PROVIDER PAYMENT PROGRAM
Rule 111-3-9-.01 - Definitions
Current through Rules and Regulations filed through March 20, 2024
As used in Chapter 111-3-9:
(1) "Board" means the Board of Community Health, the body created under O.C.G.A. § 31-2-3, appointed by the Governor, that establishes the general policy to be followed by the Department of Community Health.
(2) "Department" means the Department of Community Health established under O.C.G.A. § 31-2-1.
(3) "Hospital" means an institution licensed pursuant to Chapter 7 of Title 31, which is primarily engaged in providing to inpatients, by or under the supervision of physicians, diagnostic services and therapeutic services for medical diagnosis, treatment, and care of injured, disabled, or sick persons or rehabilitation services for the rehabilitation of injured, disabled, or sick persons. Such term includes public, private, rehabilitative, geriatric, osteopathic, and other specialty hospitals but shall not include psychiatric hospitals, which shall of O.C.G.A. § 37-3-1, critical access hospitals as defined in paragraph (3) of O.C.G.A. § 33-21A-2, or any state owned or state operated hospitals.
(4) "Net Patient Revenue" means the total gross patient revenue of a Hospital less contractual adjustments; charity care; bad debt; Hill-Burton commitments; indigent care as defined by and calculated in the Department's annual Hospital Financial Survey; and gross patient revenues and contractual adjustments realized pursuant to section 1902(a)(10)(A)(i)(VIII) of the Social Security Act.
(5) "Provider Payment" means a payment assessed by the Department pursuant to this Chapter for the privilege of operating a Hospital.
(6) "Segregated Account" means an account for the dedication and deposit of Provider Payments which is established within the Trust Fund.
(7) "State Plan Amendment" means all documentation submitted by the Commissioner, on behalf of the Department, to and for approval by the Secretary of Health and Human Services pursuant to Title XIX of the federal Social Security Act of 1935, as amended.
(8) "Trauma Center" means a Hospital designated by the Department of Public Health as a Level I, II, III or IV Trauma Center.
(9) "Trust Fund" means the Indigent Care Trust Fund created by Article 6 of Chapter 8 of Title 31.
(10) "Waiver" means a waiver of the requirements for permissible health care related taxes, as provided for in 42 C.F.R. § 433.68.
Act I of the 2013 Session of the Georgia General Assembly.
