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-.03 - Use of Provider Payments
Current through Rules and Regulations filed through September 23, 2024
(1) The Department shall collect the Provider Payments imposed pursuant to this Chapter. All revenues raised pursuant to this Chapter shall be deposited into the Segregated Account. Such funds shall be dedicated and used for the sole purpose of obtaining federal financial participation for medical assistance payments to Hospitals and other providers on behalf of Medicaid recipients pursuant to Article 7 of Chapter 4 of Title 49.
(2) Revenues appropriated to the Department by the General Assembly pursuant to Article 6C of Chapter 8 of Title 31 shall be used to match federal funds that are available for the purpose for which such funds have been appropriated.
(3) In recognition of the Provider Payments made by Hospitals pursuant to this Chapter, the Department shall add 11.88 percent to hospital inpatient base rates, capital add-on rates, graduate medical education add-on rates, outlier per case payments and outpatient payment rates.
(4) The Department may conduct an annual review of the percentage defined in paragraph 3 and may make prospective adjustments to such percentage to ensure the amount of the add-on payments to Hospitals are substantially equivalent in the aggregate to the total amount of Provider Payments made by Hospitals pursuant to this Chapter.
Act I of the 2013 Session of the Georgia General Assembly.
