Section 0720-40-.02 - DEFINITIONS(1) "Commissioner" means the Commissioner of the Tennessee Department of Health as set forth in T.C.A. § 68-1-102.(2) "Department" means the Tennessee Department of Health.(3) "Hospital" means a facility licensed as a hospital by the Department of Health pursuant to T.C.A. Title 68, Chapter 11, Part 2 or by the Department of Mental Health and Mental Retardation pursuant to T.C.A. Title 33, Chapter 1.(4) "Joint Annual Report" means the Joint Annual Report of Hospitals described in T.C.A. §§ 68 1-108, 68-1-109 and 68-11-310.(5) "General/Acute Care Hospital" means a hospital which describes its services as any classification other than psychiatric or alcoholism and other chemical dependency under Schedule B of the Joint Annual Report of Hospitals.(6) "Medicaid Utilization Rate" is the quotient obtained by dividing the total number of Medicaid days, including Primary Care Network and out of state days, utilized during the year by the hospital's total days multiplied by 100 as derived from the HCFA 2552-85 form.(7) "Low Income Utilization Rate" is the ratio of a hospital's inpatient charity, medically indigent, and bad debt divided by the hospital's inpatient charges plus the total amount of Medicaid inpatient revenue, tax appropriations, and state and local government contributions, divided by the hospital's total inpatient revenue plus tax appropriations, and state and local government contributions multiplied times 100. In order to be used in the determination of the fee, the sum of the two ratios must be 25% or greater as derived from the Joint Annual Report.(8) "Acute Care Industry Average Utilization Ratio" is the quotient of the Medicaid industry days divided by available inpatient hospital days (licensed bed days open) for acute care hospitals. Both the numerator and denominator exclude psychiatric units of acute care hospitals with separate provider numbers as derived from HCFA 2552-85 form.(9) "Medicaid Day Ratio" is the ratio of Medicaid days (excluding Primary Care Network and out of state days) to the hospital's total days of care provided as derived from the HCFA 2552-85 form.(a) The sum of all calculations provided for in Rule 0720-40-.03(l) through 0720-40-.03(2)(e) shall then be multiplied by twenty-five percent (25%) and this amount shall represent the assessment of the hospital services license fee for July 1, 1992.Tenn. Comp. R. & Regs. 0720-40-.02
Original rule filed March 30, 1990, effective May 14, 1990. Amendment filed September 25, 1991, effective November 9, 1991. Transferred from chapter 1200-24-01 pursuant to Public Chapter 1119 of 2022 effective 7/1/2022.Authority: T.C.A. §§ 4-5-202 and 68-11-216(d) and Public Chapter 434, Acts of 1989.