SubPart 86-1 - Medical Facilities

Effective Date

02/02/2022

SubPart 86-1 - Medical Facilities
Section 86-1.1 - Definition

Section 86-1.2 - Financial and statistical data required

Section 86-1.3 - Uniform system of accounting and reporting

Section 86-1.4 - Audits

Section 86-1.5 - Effective period of reimbursement rates

Section 86-1.6 - Allowable costs

Section 86-1.7 - Recoveries of expense

Section 86-1.8 - Research and educational activities

Section 86-1.9 - Compensation of operators and relatives of operators

Section 86-1.10 - Related organizations

Section 86-1.11 - Termination of service

Section 86-1.12 - Federal financial participation

Section 86-1.13 - Certified home health agency rates

Section 86-1.14 - Allowance for certified home health agencies providing a disproportionate share of bad debt and charity care

Section 86-1.15 - Definitions

Section 86-1.16 - Statewide base price

Section 86-1.17 - Exclusion of outlier and transfer costs

Section 86-1.18 - Service Intensity Weights (SIW) and average length-of-stay (LOS)

Section 86-1.19 - Wage Equalization Factor (WEF)

Section 86-1.20 - Add-ons to the case payment rate per discharge

Section 86-1.21 - Outlier and transfer cases rates of payment

Section 86-1.22 - Alternate level of care payments

Section 86-1.23 - Exempt units and hospitals

Section 86-1.24 - Trend factor

Section 86-1.25 - Capital expense reimbursement

Section 86-1.26 - Statewide Planning and Research Cooperative System (SPARCS)

Section 86-1.27 - Federal upper limit compliance

Section 86-1.28 - Adding or deleting hospital services or units

Section 86-1.29 - New hospitals and hospitals on budgeted rates

Section 86-1.30 - Swing bed reimbursement

Section 86-1.31 - Mergers, acquisitions and consolidations

Section 86-1.32 - Administrative rate appeals

Section 86-1.33 - Out-of-state providers

Section 86-1.34 - Supplemental indigent care distributions

Section 86-1.35 - Disproportionate share limitations

Section 86-1.36 - Hospital physician billing

Section 86-1.37 - Readmissions

Section 86-1.38 - Transition pool for 2010-2013 period

Section 86-1.39 - Inpatient psychiatric services

Section 86-1.41 - Hospital Quality Contribution

Section 86-1.42 - Potentially preventable negative outcomes

Section 86-1.43 - Certified home health care agency ceilings

Section 86-1.44 - Episodic Payments for Certified Home Health Agency Services

Section 86-1.45 - Reimbursement for language assistance services in hospital inpatient settings

Section 86-1.46 - Empire Clinical Research Investigator Program (ECRIP)

Section 86-1.47 - Hospital indigent care pool payments

Section 86-1.50 Repealed

Section 86-1.51 Repealed

Section 86-1.52 Repealed

Section 86-1.53 Repealed

Section 86-1.54 Repealed

Section 86-1.55 Repealed

Section 86-1.57 Repealed

Section 86-1.60 Repealed

Section 86-1.61 Repealed

Section 86-1.62 Repealed

Section 86-1.63 Repealed

Section 86-1.64 Repealed

Section 86-1.65 Repealed

Section 86-1.66 Repealed

Section 86-1.70 Repealed

Section 86-1.71 Repealed

Section 86-1.74 Repealed

Section 86-1.75 Repealed

Section 86-1.80 Repealed

Section 86-1.81 Repealed

Section 86-1.82 Repealed

Section 86-1.83 Repealed

Section 86-1.84 Repealed

Section 86-1.86 Repealed

Section 86-1.88 Repealed

Section 86-1.89 Repealed