N.J. Admin. Code § 10:52-5.15

Current through Register Vol. 56, No. 24, December 18, 2024

Section 10:52-5.15 - Division adjustments and approvals

(a) Any modifications including any statutory or regulatory changes or changes in patient care physician compensation arrangements shall be classified as direct or indirect, and as to the financial elements affected and each element adjusted proportionately.

(b) The Division shall also approve adjustments to hospitals' Schedules of Rates for 1993 and subsequent years as necessary to subtract approved costs associated with residents not meeting the minimum requirements as defined in N.J.A.C. 10:52-5.10(b); for any costs associated with residents in programs which have lost accreditation as defined in N.J.A.C. 10:52-5.10(b); and for any costs associated with previously approved but now vacant residency positions which are unfilled as a result of a hospital's inability to recruit residents meeting these minimum standards. These costs shall include, but are not limited to, resident salaries and fringes, faculty salaries, malpractice and supplies.

(c) The Division may approve hospital appeals to transfer Division approved resident positions and associated costs between hospitals. A hospital may appeal under any option to reduce or increase the number of resident positions by transfer. An addition of resident positions by transfer may not result in a change to a higher teaching status peer group. A reduction of resident positions by transfer may result in a change to a lower teacher status peer group. The approved costs associated with a transferred resident position may not increase solely as a result of the transfer.

(d) The Division shall decide to which hospitals the approved resident positions and associated costs may be transferred.

(e) Subsections (a) through (d) above apply for dates of services provided prior to October 1, 1996. Effective for services provided on or after October 1, 1996, this section is no longer applicable.

N.J. Admin. Code § 10:52-5.15

Amended by R.1997 d.43, effective 1/21/1997.
See: 28 New Jersey Register 4022(a), 29 New Jersey Register 350(b).
Added (e).
Recodified from N.J.A.C. 10:52-5.19 and amended by R.2000 d.29, effective 1/18/2000.
See: 31 New Jersey Register 3151(a), 32 New Jersey Register 276(a).
In (b), changed N.J.A.C. references throughout. Former N.J.A.C. 10:52-5.15, Reasonable direct cost per case, recodified to N.J.A.C. 10:52-5.11.