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 17-1740.1-4 - Calculation of the baseline PPS rates for FQHCs and RHCs who, as of May 31, 2001, could have filed two annual cost reports for their respective fiscal years ending 1999 and 2000, but only filed one such annual cost report
Current through February, 2024
For each FQHC and RHC, the baseline rate will be calculated using the cost report submitted. The baseline rate will be calculated as follows:
(1) The total visits and costs shall be obtained from the "as filed" cost report. Vision visits and costs will be included with the medical cost per visit baseline PPS rates. A separate PPS rate will be computed for dental visits.
(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) If the FQHC or RHC believes it provides more in scope of services or caseload, or both, than reflected in the base rate, it may seek an adjustment by submitting data and documentation that substantiates the difference in services or costs.
