New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 52 - HOSPITAL SERVICES MANUAL
Subchapter 5 - PROCEDURAL AND METHODOLOGICAL REGULATIONS
Section 10:52-5.4 - Development of standards
Universal Citation: NJ Admin Code 10:52-5.4
Current through Register Vol. 56, No. 18, September 16, 2024
Effective for services provided on or after October 1, 1996, the Director shall develop standard reimbursement amounts for each DRG based on the median cost per case for Medicaid/NJ FamilyCare fee-for-service beneficiaries. The standards shall be adjusted to account for significant differences in labor market areas. These standards are developed according to criteria set forth in N.J.A.C. 10:52-5.11 through 5.17. Standards so developed and issued for a rate year shall remain unaffected and no adjustments, modifications, or changes to the standards shall be made except as referenced in N.J.A.C. 10:52-5.10.
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