La. Admin. Code tit. 50 § V-961
Current through Register Vol. 50, No. 11, November 20, 2024
Section V-961 - Inpatient Rehabilitation Hospital ServicesA. Definitions Free-Standing Rehabilitation Hospital-a non-rural, non-state hospital that is designated as a rehabilitation specialty hospital by Medicare.
B. Reimbursement Methodology 1. Effective for dates of service on or after January 1, 2018, the prospective per diem rate paid to non-rural, non-state free-standing rehabilitation hospitals shall be indexed to 36 percent of the small rural hospital prospective per diem rate in effect on January 1, 2017.2. Rehabilitation hospitals whose per diem rates as of January 1, 2017, excluding the graduate medical education portion of the per diem, are greater than 36 percent of the January 1, 2017 small rural hospital rate shall not be increased.3. Effective for dates of service on or after January 1, 2020, the prospective per diem rate paid to non-rural, non-state free-standing rehabilitation hospitals shall be indexed to 37 percent of the small rural hospital prospective per diem rate in effect on January 1, 2019.4. Rehabilitation hospitals whose per diem rates as of January 1, 2019, excluding the graduate medical education portion of the per diem, are greater than 37 percent of the January 1, 2019 small rural hospital rate shall not be increased.5. Effective for dates of service on or after January 1, 2021, the inpatient per diem rate paid to non-rural, non-state free-standing rehabilitation hospitals shall be increased by 3.2 percent of the per diem rate on file as of December 31, 2020.La. Admin. Code tit. 50, § V-961
Promulgated by the Department of Health, Bureau of Health Services Financing, LR 432533 (12/1/2017), Amended LR 441446 (8/1/2018), Amended LR 451771 (12/1/2019), Amended LR 461683 (12/1/2020).AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.