Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1740.1 - REIMBURSEMENT OF FEDERALLY QUALIFIED HEALTH CENTERS AND RURAL HEALTH CLINICS
Section 17-1740.1-3 - Calculations of the baseline PPS rates for FQHCs and RHCs who, as of May 31, 2001, have filed two annual cost reports for their respective fiscal years ending 1999 and 2000
Current through February, 2024
For each FQHC and RHC, the baseline rate will be calculated using the cost reports for their respective fiscal years ending in 1999 and 2000. The baseline rate will be calculated as follows:
(1) The total visits and costs shall be obtained from the "as filed" cost reports, submitted to the State for the respective FQHC or RHC fiscal years ending in 1999 and 2000. For those providers having more than one cost report ending in either of these years, a weighted average to the current year-end will be used to make both years consistent. Vision visits and costs will be included with the medical cost per visit baseline PPS rates.
(2) Each year's total costs will be divided by the total visits. The total costs should include the costs of all Medicaid covered services provided by the FQHC or RHC. This includes all ambulatory services which were previously paid under a fee-for-service basis.
(3) A two-year average of the calculated cost per visit rates for years 1999 and 2000 will be used for each facility. The average cost per visit rate will be calculated separately for each year, then added together and divided by two.
