Code of Massachusetts Regulations
114 CMR - DIVISION OF HEALTH CARE FINANCE AND POLICY
Title 114.1 CMR 39.00 - CHRONIC AND REHABILITATION PUBLICLY ASSISTED RATES OF PAYMENT AND THE FEE FOR RESIDENTIAL ALCOHOLISM TREATMENT PROGRAMS
Section 39.02 - Definitions

As used in 114.1 CMR 39.00, unless the context requires otherwise, terms shall have the meanings ascribed in 114.1 CMR 39.02.

Administrative Day. An inpatient day spent in a chronic/rehabilitation hospital by a patient who has been identified by a Peer Review Organization (where applicable) or otherwise by the Division of MedicalAssistance or by the Department of Public Health, or any combination of these organizations as a patient not requiring a Hospital Level of Care.

Base Year.

(a) For hospitals licensed and/or operated as chronic/rehabilitation hospitals in Fiscal Year 1993 (FY 1993), the base year is the hospital's FY 1993.

(b) For hospitals licensed and/or operated as chronic/rehabilitation hospitals in FY 1993 but which converted a majority of beds to long term care beds during FY 1993, the base year shall be FY 1994 deflated to FY 1993.

(c) For hospitals licensed and/or operated as chronic/rehabilitation hospitals in FY 1993 but which eliminated a majority of beds and closed the facility and which in subsequent years continued to provide some services in a new location and under a new management, the base year is the first cost reporting period of at least 12 months after the hospital started to provide the service at the new location.

(d) For hospitals which were not licensed and/or operated as chronic/rehabilitation hospitals in FY 1993, the base year is the first cost reporting period of at least 12 months after the hospitalis licensed and/or operated as a chronic/rehabilitation hospital.

Commission. The Rate Setting Commission established under M.G.L. c. 6A, and currently referred to as the Division of Health Care Finance and Policy.

Direct Cost. The cost of a center as defined by the Hospital Uniform Reporting Manual (HURM) after reclassification and recoveries of expense and prior to the allocation of overhead cost to patient care cost centers through the stepdown.

DHCFP-450 Form. The Division of Health Care Finance and Policy's DHCFP-450 Form is a report which documents a facilities charges and volume, utilized for the purpose of adjusting the cost-to-charge ratio or the payment on account factor should the facility increase their charges.

Division. The Division of Health Care Finance and Policy established under M.G.L. c. 118G, formerly the Rate Setting Commission.

FTEs . FTE is an acronym for full-time equivalent staff. To compute full-time equivalents (FTEs), divide the total annual paid hours (including vacation, sick leave, and overtime) for all employees in each cost center by a 40 hour standard work week, annualized to a norm of 2080 hours.

Governmental Unit. The Common wealth of Massachusetts and any department, agency, board, commission, division, or political subdivision of the Commonwealth.

HURM Manual. The Common wealth of Massachusetts Hospital Uniform Reporting Manual, promulgated by the Division under 114.1 CMR 4.00.

New Hospital. A hospital which was not licensed and/or operated as a chronic/rehabilitation hospital in FY 1993, or which did not report a full year of actual costs in FY 1993.

Non-Acute Hospital. A hospital which is defined and licensed under M.G.L. c. 111, § 51, with less than majority of medical-surgical, pediatrics, maternity and obstetric beds, or any psychiatric facility licensed under M.G.L. c. 19, § 29, or any public health care facility.

Overhead. Overhead includes expenses for depreciation, long term interest, fringe benefits, administration, plant maintenance and repairs, plant operations, laundry, housekeeping, cafeteria, dietary, maintenance personnel, nursing administration and in service education, RN & LPN education, medical staff teaching and administration, post graduate medical education, medical records, medical care review, and social services.

Payment on Account Factor. The percentage of charge which was most recently approved by the Commission pursuant to 114.1 CMR 28.00 or 114.1 CMR 37.00 for eligible services rendered to publicly-assisted patients.

Public Health Care Facility. A facility operated by the Department of Public Health, the Department of Mental Health, a County of the Commonwealth, or a Soldiers' Home which provides inpatient medical, skilled nursing, or mental retardation care and services and which may provide outpatient medical, mental health, or mental retardation care and services.

Publicly Aided Patient. A person who receives health care and services for which a governmental unit is in whole or part liable under a statutory program of public assistance.

Rate Year. The rate year is the 12 month period, October 1, through September 30.