Michigan Administrative Code
Department - Labor and Economic Opportunity
Workers Compensation Agency
Workers' Compensation Health Care Services Rules
Part 11 - HOSPITAL PAYMENT RATIO
Section R. 418.101101 - Calculation and revision of payment ratio for Michigan hospitals

Universal Citation: MI Admin Code R. 418.101101

Current through Vol. 24-16, September 15, 2024

Rule 1101.

(1) The workers' compensation agency shall annually calculate and revise, under the provisions of 1969 PA 306, MCL 24.201 et seq. the payment ratios for all Michigan hospitals. The calculation shall be made using a hospital's most recent fiscal year information that is submitted to the Michigan department of health and human services, hospital and clinic reimbursement division, preceding each annual calculation. The information used shall be that reported to the Michigan department of health and human services on the hospital's statement of patient revenues and operating expenses, G2 worksheet. The workers' compensation agency shall complete the payment ratio calculation when the figures are available from the Michigan department of health and human services and shall annually provide the hospital ratio calculations on the agencys website, www.michigan.gov/wca.

(2) The workers' compensation agency shall calculate a hospital's cost-to-charge ratio by dividing each hospitals total operating expenses by total patient revenues as reported on the hospital's statement of patient revenues and operating expenses, G2 worksheet.

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