Payment Methodology for Outpatient Hospital Services

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO: RULE TITLE
59G-6.030: Payment Methodology for Outpatient Hospital Services

NOTICE OF CHANGE

Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 35 No. 48, December 4, 2009 issue of the Florida Administrative Weekly.

The proposed amendment to Section I.K. of the Outpatient Hospital Reimbursement Plan is withdrawn, and current language shall remain in the plan as follows:

“For cost reports received on or after October 1, 2003, all desk or onsite audits of these cost reports shall be final and shall not be reopened past three years of the date that the audit adjustments are noticed through a revised per diem rate completed by the Agency.”

Section IV.G.(3) will be changed by the addition of the following new language:

“Effective October 1, 2013, for cost reports received prior to October 1, 2003, all desk or onsite audits of these cost reports shall be final and not subject to reopening.”