Code of Massachusetts Regulations
114 CMR - DIVISION OF HEALTH CARE FINANCE AND POLICY
Title 114.1 CMR 40.00 - NON-ACUTE HOSPITAL PUBLICLY ASSISTED RATES OF PAYMENT AND THE FEE FOR RESIDENTIAL ALCOHOLISM TREATMENT PROGRAMS
Section 40.05 - Residential Alcoholism Treatment Programs

Universal Citation: 114.1 CMR 40.00 MA Code of Regs 40.05

Current through Register 1531, September 27, 2024

(1) Fee.

(a) The FY 1996 fee for a residential alcoholism treatment program shall be equal to the approved charge times the ratio of RFR determined pursuant to 114.1 CMR 40.06 to the Approved GPSR for the corresponding rate year, as approved under 114.1 CMR 38.00. If a hospital's approved GPSR is revised pursuant to 114.1 CMR 38.00, the ratio shall be revised to reflect the new approved GPSR. The ratio shall not be revised to reflect changes in RFR made pursuant to 114.1 CMR 38.00.

(b) The FY 1997 fee for a residential alcoholism treatment program shall be equal to the charge times the PAF calculated pursuant to 114.1 CMR 40.04(4).

(c) This fee shall be paid in full by the individual served, unless a lesser amount is established by any valid order of a court of competent jurisdiction upon a written finding of indigence or inability to pay pursuant to St. 1982, c. 373. The Commonwealth shall pay to the hospital any difference between the payment made by the individual served and the fee determined under 114.1 CMR 40.05.

(2) Reimbursement as Full Payment. Each non-acute hospital which operates a residential alcoholism treatment program shall, as a condition to receipt of payment, accept reimbursement at rates established by the Division, subject to appellate rights set forth in M.G.L.c. 118G, as full payment and discharges of all obligations of individuals served by such programs. There shall be no duplication or supplementation of payment.

(3) Eligible Providers. Only providers receiving specific permission from the Division of Alcoholism, Massachusetts Department of Public Health may receive reimbursement for residential alcoholism treatment programs under this regulation. Costs associated with residential alcoholism treatment program operating without such permission shall not be included in allowed operating cost.

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