Haw. Code R. § 17-1739-67

Current through September, 2024
Section 17-1739-67 - Special prospective payment rate considerations
(a) For a facility with insufficient observations (less than five claims) in a given service category, the prospective payment rate shall be calculated using the weighted average for the applicable service category for the facility's classification.
(b) Prospective payment rates for classification IV, the freestanding rehabilitation hospital, shall be calculated in the following manner:
(1) Facility-specific claim charge data shall be prepared in accordance with section 17-1739-61;
(2) A facility-specific per diem base rate for psychiatric services shall be calculated in accordance with section 17-1739-62;
(3) A facility-specific per diem base rate for nonpsychiatric services shall be calculated by dividing total nonpsychiatric costs, excluding capital related costs for the hospital by nonpsychiatric medicaid inpatient days; and
(4) The facility-specific factors shall be computed or reimbursed as defined in section 17-1739-65.

Haw. Code R. § 17-1739-67

[Eff 11/13/95] (Auth: HRS § 346-59) (Imp: 42 C.F.R. §447.252 )