Payment Methodology for Inpatient Hospital Services

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-6.020Payment Methodology for Inpatient 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. 42 No. 40, February 29, 2016 issue of the Florida Administrative Register.

(1) Reimbursement to participating inpatient hospitals for services provided shall be in accordance with the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XLII, effective July 1, 2015, http//www.flrules.org/Gateway/reference.asp?No=Ref-____ , incorporated by reference. The Plan is applicable to the fee-for-service delivery system.

(2) No change.

(3) The Provider Reimbursement Manual CMS PUB. 15-1, is incorporated by reference, and available at https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Paper-Based-Manuals-Items/CMS021929.html. The following cost reports forms are included in the Plan and are incorporated by reference, in this rule: CMS-2552-96, June 2003; and CMS-2552-10, October 2012. These cost reports forms are available on the Centers for Medicare and Medicaid Services Web site at http://www.cms.gov/Research-Statistics-Data-and-Systems/Files-for-Order/CostReports/Hospital-1996-form.html and http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R3P240f.pdf, respectively.

The following changes have been made to the Florida Title XIX Inpatient Hospital Reimbursement Plan:

Section VIII, Alternative Reimbursement Methods, 1. A., the following language was removed:

All other transplant rates are published on the Agency’s website at http://portal.flmmis.com/flpublic.