Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.47 - Disproportionate Share Hospitals
Section 10.09.47.01 - Definitions
Universal Citation: MD Code Reg 10.09.47.01
Current through Register Vol. 51, No. 19, September 20, 2024
A. In addition to the definitions contained in §B of this regulation, definitions set forth in COMAR 10.09.06.01D are applicable to this chapter.
B. Terms Defined.
(1) "Charity care" means
hospital care for which the costs are not reimbursed through any patient or
third party.
(2) "Charity care
inpatient costs" means hospital costs that are not reimbursed through any
patient or third party, reduced by the amount of gifts, restricted grants, or
income from endowments. For the purposes of this chapter, third party payments
include Medicaid payments for the cost of care, but do not include
disproportionate share payments.
(3) "Low-income hospital costs" means the sum
of a hospital's:
(a) Inpatient Medicaid
costs;
(b) State and local
government inpatient cash subsidies; and
(c) Charity care inpatient costs.
(4) "Low-income utilization rate"
means, for a hospital, the sum of:
(a) A
fraction, expressed as a percentage:
(i) The
numerator of which is the sum, for a fiscal year, of the total revenues paid
the hospital for patient services under a Medical Assistance Program, and the
amount of cash subsidies for patient services received directly from State and
local governments, and
(ii) The
denominator of which is the total amount of revenues of the hospital for
patient services, including the amount of the cash subsidies in the fiscal
year; and
(b) A
fraction, expressed as a percentage:
(i) The
numerator of which is the total amount of the hospital's charges for inpatient
hospital services that are attributable to charity care in a fiscal year, less
the portion of any cash subsidies described in §B(4)(a)(i) of this
regulation in the period reasonably attributable to inpatient hospital
services, and
(ii) The denominator
of which is the total amount of the hospital's charges for inpatient hospital
services in the hospital in the period reasonably attributable to inpatient
hospital services.
(5) "Medicaid cost" means an amount equal to
Medicaid payments by the Medicaid program.
(6) "Medicaid inpatient utilization rate"
means a fraction, expressed as a percentage:
(a) The numerator of which is the hospital's
number of inpatient days attributable to patients who were eligible for Medical
Assistance benefits under Title XIX of the Social Security Act for a fiscal
year; and
(b) The denominator of
which is the total number of the hospital's inpatient days for the fiscal year
in §B(6)(a) of this regulation.
(7) "State and local government inpatient
cash subsidies" means the payments for hospital costs from State or local
government health agencies that are not intended as reimbursement for costs
directly associated with particular patients, but are provided more generally
for operating costs of the institution. These subsidies do not include Medicaid
payments or disproportionate share payments.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.