Minn. R. agency 196, ch. 9500, HOSPITAL MEDICAL ASSISTANCE REIMBURSEMENT, pt. 9500.1127

Current through Register Vol. 49, No. 24, December 9, 2024

Part 9500.1127 - DETERMINATION OF SMALL RURAL PAYMENT ADJUSTMENT

Subpart 1.Eligibility for small rural payment adjustment of 20 percent.

A Minnesota hospital is eligible for a small rural payment adjustment of 20 percent increase to its payment rates, excluding Medicare crossovers, if it meets the requirements in items A to C. For purposes of this subpart, medical assistance does not include general assistance medical care.

A. The hospital had 100 or fewer medical assistance annualized paid admissions, excluding Medicare crossovers, that were paid by March 1, 1988, for the period January 1, 1987, to June 30, 1987.

B. The hospital had 100 or fewer licensed beds on March 1, 1988.

C. The hospital is not located in a city of the first class.

Subp. 2.Eligibility for small rural payment adjustment of 15 percent.

A Minnesota hospital is eligible for a small rural payment adjustment of 15 percent increase to its payment rates, excluding Medicare crossovers, if it meets the requirements in items A to B. For purposes of this subpart, medical assistance does not include general assistance medical care.

A. The hospital had more than 100 but fewer than 250 medical assistance annualized paid admissions, excluding Medicare crossovers, that were paid by March 1, 1988, for the period January 1, 1987, to June 30, 1987.

B. The hospital meets the requirements of subpart 1, items B and C.

Subp. 3.Limitation of small rural payment adjustment.

A Minnesota hospital eligible for the small rural payment adjustment under subpart 1 or 2 that is also eligible for the disproportionate population adjustment under part 9500.1121 or the hospital payment adjustment under part 9500.1123, is eligible for payments under those parts plus any amount by which the small rural payment adjustment exceeds the adjustments under those parts.

Minn. R. agency 196, ch. 9500, HOSPITAL MEDICAL ASSISTANCE REIMBURSEMENT, pt. 9500.1127

26 SR 976

Statutory Authority: MS s 256.9685