Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES
Chapter 46 - RATES FOR HOSPITAL SERVICES
Section 471-46-006 - PAYMENTS FOR REHABILITATION SERVICES
Current through March 20, 2024
Payments for rehabilitation discharges are made on a prospective per diem. All rehabilitation services, regardless of the type of hospital providing the service, will be reimbursed on a per diem basis. This includes services provided at a facility enrolled as a provider for rehabilitation services which is not a licensed rehabilitation hospital or a Medicare-certified distinct part unit. The per diem will be the sum of: the hospitalspecific base payment per diem rate; the hospital-specific capital per diem rate; and the hospital's direct medical education per diem rate, if applicable. Payment for each discharge equals the per diem times the number of approved patient days. Payment is made for the day of admission but not for the day of discharge.
006.01 ADJUSTMENT OF HOSPITAL-SPECIFIC BASE PAYMENT AMOUNT. The hospital sepcifc per diem rates may be adjusted annually as specified by the Department.
006.02 CALCULATION OF HOSPITAL-SPECIFIC CAPITAL PER DIEM RATE. Capital-related cost payments for the building and fixtures portion of capital-related costs are paid on a per diem as described in this chapter.
