North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY
Subchapter R - DISTRIBUTION OF HOSPITAL UNCOMPENSATED CARE FUND
Section 22R .0103 - ELIGIBLE HOSPITAL

Universal Citation: 10A NC Admin Code 22R .0103

Current through Register Vol. 39, No. 12, December 1, 2024

An institution licensed by the State of North Carolina that meets the definition in G.S. 131E-176(13) is eligible for reimbursement from the Hospital Uncompensated Care Fund if it:

(1) is not a public agency qualified to certify expenditures in accordance 42 CFR 433.51(b), which is incorporated by reference in 10A NCAC 22Q .0102;

(2) received payment for more than 50 percent of their Medicaid inpatient discharges under the North Carolina Medicaid State Plan, Attachment 4.19-A discharge Diagnosis Related Groups methodology for the most recent payment period;

(3) files with the Department 90-days prior to the date of payment under this Subchapter forms prescribed by the Department attesting to the hospital's:

(a) qualification for disproportionate share status of the "Disproportionate Share Hospital (DSH) Payment" section of the North Carolina Medicaid State Plan, Attachment 4.19-A;

(b) unreimbursed charges and payments for outpatient services provided to uninsured patients; and

(c) aggregate Medicaid outpatient cost-to-charge.

Authority G.S. 108A-54; 143C-9-9;
Temporary Adoption Eff. December 29, 2021;
Eff. August 1, 2022.

Disclaimer: These regulations may not be the most recent version. North Carolina may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.