Minnesota Administrative Rules
Agency 196 - Human Services Department
Chapter 9500 - ASSISTANCE PAYMENTS PROGRAMS
HOSPITAL MEDICAL ASSISTANCE REIMBURSEMENT
Part 9500.1116 - DETERMINATION OF ADJUSTED BASE YEAR OPERATING COST PER DAY
Universal Citation: MN Rules 9500.1116
Current through Register Vol. 49, No. 13, September 23, 2024
Subpart 1. Neonatal transfers.
A. For Minnesota and local trade area
hospitals, the department will determine the neonatal transfer adjusted base
year operating cost per day for Minnesota and local trade area admissions that
result from a transfer to a neonatal intensive care unit specialty group
according to subitems (1) to (6).
(1)
Determine the operating cost per day within each diagnostic category in part
9500.1100, subpart 20f, according
to part
9500.1110, subpart
1, items A to E, and divide
the total base year operating costs by the total corresponding inpatient
hospital days for each admission.
(2) Determine relative values for each
diagnostic category at part
9500.1100, subpart 20f, according
to part
9500.1110, subpart
1, items F, G, and H, after
substituting the term "day" for "admission."
(3) For each Minnesota and local trade area
hospital that has admissions that result from a transfer to a neonatal
intensive care unit specialty group, determine the operating cost for each
admission according to part
9500.1110, subpart
1, items A to E.
(4) Add the results for each admission in
subitem (3).
(5) Divide the total
from subitem (4) by the total corresponding inpatient hospital days for each
admission in subitem (3).
(6)
Adjust subitem (5) for case mix according to part
9500.1115, subpart
1, item D, after substituting
the term "day" for "admission."
B. For Minnesota and local trade area
hospitals that do not have five or more medical assistance neonatal transfer
admissions to a neonatal intensive care unit specialty group in the base year,
the department will determine the neonatal transfer adjusted base year
operating cost per day for admissions that result from a transfer to a neonatal
intensive care unit according to subitems (1) to (3).
(1) Multiply each adjusted base year
operating cost per day for each Minnesota and local trade area hospital
determined in item A, subitem (6), by the number of corresponding days in the
hospital's base year.
(2) Add the
products in subitem (1).
(3) Divide
the total from subitem (2) by the total days for all Minnesota and local trade
area hospitals and round that amount to whole dollars.
Subp. 2. Long-term care hospital.
A. The department will
determine the base year operating cost per day for a long-term care hospital
for the rate year according to subitems (1) and (2).
(1) Determine the operating cost per day
according to part
9500.1110, subpart
1, items A to D, except that
claims excluded in part
9500.1110, subpart
1, item B, subitems (2) and
(4), will be included.
(2) Divide
the total base year operating costs for all admissions in subitem (1) by the
total corresponding inpatient hospital days for all admissions and round that
amount to whole dollars.
B. For long-term care hospitals that do not
have five or more medical assistance admissions in the base year, the
department will determine a long-term care hospital operating cost per day
according to subitems (1) to (3):
(1)
Multiply each operating cost per day for each long-term care hospital as
determined in item A, subitem (2), by the number of corresponding days in the
hospital's base year.
(2) Add the
products in subitem (1).
(3) Divide
the total from subitem (2) by the total days for all long-term care hospitals
and round that amount to whole dollars.
Statutory Authority: MS s 256.9685; 256.9695
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