Current through Register Vol. 49, No. 13, September 23, 2024
Subpart 1.
Minnesota and local trade
area hospitals.
The department will determine the property cost per admission
for each Minnesota and local trade area hospital according to items A to
D.
A. Determine the property cost for
each admission in part
9500.1110, subpart
1, item C, using each
hospital's base year data according to subitems (1) to (4).
(1) Multiply the number of accommodation
service inpatient days by that accommodation service property per diem and add
the products.
(2) Multiply each
ancillary charge by that ancillary property cost-to-charge ratio and add the
products.
(3) Add subitems (1) and
(2).
(4) Add the results of subitem
(3) for all admissions for each hospital.
B. Determine the property cost for each
hospital admission in part
9500.1110, subpart
1, item C, using each
hospital's base year data and recent year data from part
9500.1105, subpart
1, item A, subitem (4),
according to subitems (1) to (4).
(1)
Multiply the base year number of accommodation service inpatient days by that
same recent year accommodation service property per diem and add the
products.
(2) Multiply each base
year ancillary charge by that annualized recent year property cost to base year
charge ratio and add the products.
(3) Add subitems (1) and (2).
(4) Add the totals of subitem (3) for all
admissions for each hospital.
C. Determine the change in the property cost
according to subitems (1) to (3).
(1) Subtract
item A, subitem (4) from item B, subitem (4), and, if positive, divide the
result by item A, subitem (4).
(2)
Multiply the quotient of subitem (1) by 0.85.
(3) Add one to the result of subitem (2) and
round to two decimal places.
D. Determine the property cost per admission
by program and specialty group according to subitems (1) to (3).
(1) Assign each admission and property cost
in item A, subitem (3), to the appropriate program and specialty group
according to part
9500.1100, subparts 20a to
20g.
(2) Multiply the cost of each
admission in subitem (1) by the factor in item C, subitem (3).
(3) Add the products within each program and
specialty group in subitem (2), divide the total by the number of corresponding
admissions, and round the resulting amount to whole dollars.
Subp. 2.
Out-of-area hospitals.
The department will determine the property cost per admission
by program for out-of-area hospitals according to items A to C.
A. Multiply each property cost per admission
for each Minnesota and local trade area hospital determined in subpart
1, item D, subitem (3), by
the number of corresponding admissions in that hospital's base year.
B. Add the products in item A.
C. Divide the total from item B by the total
admissions for all the hospitals and round the resulting amount to whole
dollars.
Subp. 3.
Minnesota metropolitan statistical area hospitals and local trade area
hospitals that do not have five or more medical assistance admissions in the
base year and low volume local trade area hospitals.
The department will determine the property cost per admission
by program according to items A to C.
A. Multiply each property cost per admission
for each Minnesota metropolitan statistical area hospital and local trade area
hospital determined in subpart
1, item D, subitem (3), by
the number of corresponding admissions in the hospital's base year.
B. Add the products in item A.
C. Divide the total from item B by the total
admissions for all Minnesota metropolitan statistical area and local trade area
hospitals and round the resulting amount to whole dollars.
Subp. 4.
Nonmetropolitan statistical
area hospitals that do not have five or more medical assistance admissions in
the base year.
The department will determine the property cost per admission
by program for nonmetropolitan statistical area hospitals that do not have five
or more medical assistance admissions in the base year by substituting
nonmetropolitan statistical area hospitals terms and data for the metropolitan
statistical area hospitals terms and data under subpart
3.
Subp. 5.
Minnesota and local trade area
hospitals that do not have five or more medical assistance rehabilitation
distinct part specialty group admissions in the base year.
The department will determine the property cost per admission
for the rehabilitation distinct part specialty group for Minnesota and local
trade area hospitals that do not have five or more medical assistance
admissions in the base year substituting Minnesota and local trade area
hospital terms and data for the metropolitan statistical area hospital terms
and data under subpart
3.
