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Title: Section 86-1.22 - Alternate level of care payments

Effective Date

03/16/2011

86-1.22 Alternate level of care payments.

(a) Hospitals shall be reimbursed for ALC days at the appropriate 1987 group average operating cost component of rates of payment for hospital-based residential health care facilities established pursuant to Subpart 86-2 of this Part trended to the rate year. The determination of the group average operating rate for hospital-based residential health care facilities shall be based on the combination of residential health care facilities as follows:

(1) The downstate group consisting of residential health care facilities located in the five boroughs of New York City and Nassau, Suffolk, Westchester and Rockland Counties.

(2) The upstate group consisting of all other residential health care facilities in the state.

(b) Hospitals that convert medical/surgical beds to residential health care beds shall be reimbursed for services provided in the converted beds in accordance with Subpart 86-2 of this Part.

Volume

VOLUME A-2 (Title 10)

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