Ala. Admin. Code r. 560-X-5-.08

Current through Register Vol. 43, No. 1, October 31, 2024

Section 560-X-5-.08 - Payment

(1) Payment for inpatient services provided by psychiatric facilities for individuals age 65 and older shall be the per diem rate established by Medicaid for the hospital, which is based on the Medicaid cost report and all the requirements expressed in Chapter 23 of the Alabama Medicaid Administrative Code. Patient liabilities, if applicable, will be deducted from the per diem. The hospital will be responsible for collecting the liability amount from the patient and/or his/her sponsor. Providers should reference their billing manual for claim submission procedures.

(2) Providers are required to file a complete uniform Medicaid cost report for each fiscal year. Two copies of this report must be received by Medicaid within three months after the Medicaid cost report year-end.

(3) If a complete uniform cost report is not filed by the due date, the hospital shall be charged a penalty of $100.00 per day for each calendar day after the due date.

(4) Hospitals that terminate participation in the Medicaid program must provide a final cost report within 120 days of the date of termination of participation.

Author:

Ala. Admin. Code r. 560-X-5-.08

New Rule: Filed September 6, 1995; effective October 12, 1995. Amended: Filed October 6, 1997; effective November 10, 1997.

Statutory Authority: State Plan, Attachment 4.19-A; 42 C.F.R. Section 447, Subpart D.