New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 52 - HOSPITAL SERVICES MANUAL
Subchapter 5 - PROCEDURAL AND METHODOLOGICAL REGULATIONS
Section 10:52-5.9 - Reasonable cost of services related to patient care
Universal Citation: NJ Admin Code 10:52-5.9
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The reasonable cost of services related to patient care includes:
1. Current non-physician direct patient care costs per case as adjusted by standard costs per case for Medicaid/NJ FamilyCare fee-for-service inpatients;
2. Current physician patient service costs, as modified for physician compensation arrangements pursuant to 10:52-5.8;
3. Indirect cost pursuant to N.J.A.C 10:52-5.7 and 5.12;
4. Less a reduction for income not related to patient care, from those sources specified in 10:52-6.25 through 6.31 except all items reported as expense recovery to the Division, shall be so treated; and
5. Current major moveable equipment amount pursuant to 10:52-6.19 and 6.24.
(b) The reasonable cost of services related to Medicaid patient care will be adjusted by the application of economic factors pursuant to 10:52-5.13.
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