Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1163 - INPATIENT HOSPITAL SERVICES
Subchapter A - ACUTE CARE GENERAL HOSPITALS UNDER THE PROSPECTIVE PAYMENT SYSTEM
PAYMENT FOR HOSPITAL SERVICES
Section 1163.55 - Payments for direct medical education for Fiscal Years 1993-94 and 1994-95

Universal Citation: 55 PA Code ยง 1163.55

Current through Register Vol. 54, No. 44, November 2, 2024

(a) For Fiscal Years 1993-94 and 1994-95, the Department will reimburse hospitals for inpatient acute care direct medical education costs that are allowable under Medicare cost principles, subject to the limitations in this section.

(b) For Fiscal Years 1993-94 and 1994-95, prior to a settlement based on audited costs, subject to the limitations in this section, the Department will make monthly interim payments for the MA inpatient acute care portion of a hospital's allowable costs for direct medical education. The Department will calculate a hospital's interim payment to approximate, to the extent practicable, that hospital's final audited MA inpatient acute care direct medical education payment.

(c) For Fiscal Years 1993-94 and 1994-95, a hospital's final audited payment for MA inpatient acute care direct medical education costs will be the lesser of the following:

(1) The hospital's final audited MA inpatient acute care direct medical education payment for the prior fiscal year, as increased for inflation to the fiscal year being audited as provided under subsections (d) and (e).

(2) The hospital's actual audited MA inpatient acute care direct medical education costs for the fiscal year being audited.

(d) For Fiscal Year 1993-94, the inflation factor for subsection (c)(1) will be 3%.

(e) For Fiscal Year 1994-95, the inflation factor for subsection (c)(1) will be the Consumer Price Index-Wage Earners Percent Change (% CHYA) Index as published by DRI/McGraw-Hill in the fourth calendar quarter of 1993 for the second calendar quarter of 1995.

The provisions of this §1163.55 amended under sections 201 and 443.1(1) of the Public Welfare Code (62 P. S. §§ 201 and 443.1(1)).

This section cited in 55 Pa. Code § 1163.51 (relating to general payment policy).

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