W. Va. Code R. § 65-26-6

Current through Register Vol. XLI, No. 50, December 13, 2024
Section 65-26-6 - Allowed Adjustments
6.1. Adjustments in a hospital's average nongovernmental inpatient charge per discharge shall be determined based upon the hospital's ranking in its peer group . The hospital shall be ranked within its peer group based upon two variables:
(1) inpatient charge per dischargeand
(2) inpatient cost per discharge. The Authority shall calculate the adjustments using the hospital's projected actual nongovernmental charge per discharge.
6.2. The standard allowed increase in the average nongovernmental inpatient charge per discharge for hospitals shall range from 2.5% to a maximum of 7.5% for the initial year. The scale for rate increases for the initial year is contained in Table 65-26A of this rule. After the initial year, the Authority may adjust the scale. Adjustments to the scale by the Authority may be made only after the proposed adjustments are published and a period of thirty days is allowed for the receipt of public comment. After the public comment period expires, the Authority may make adjustments to the scale. The new scale shall be published by the Authority and distributed to all hospitals subject to rate review.

W. Va. Code R. § 65-26-6