Minn. R. 9500.1105 - BASIS OF PAYMENT FOR INPATIENT HOSPITAL SERVICES
Subpart 1.
Reporting
requirements.
A. No later than October
1 preceding a rebased rate year or 60 days from the department's request,
whichever is later, a Minnesota and local trade area hospital must provide to
the department complete, true, and authorized information as outlined in
subitems (1) to (6). Information required in subitems (1) to (6) that is not
provided in a timely manner will not be used in calculating the hospital's
rates for that rate year and the following year if rebasing does not occur.
(1) The base year Medicare audited cost
report of local trade area hospitals.
(2) The decision on whether certified
registered nurse anesthetist services are to be paid separately from parts
9500.1090 to
9500.1155. Once elected, the
decision to be paid separately is irrevocable.
(3) The elected outlier percentage for other
than neonate and burn admissions to a minimum of 60 percent and a maximum of 80
percent. The chosen percentage shall apply to all program and specialty groups
of the hospital.
(4) The most
recent Medicare cost report submitted to Medicare by October 1 prior to a
rebased rate year.
(5) The data on
low income utilization necessary to implement the disproportionate population
adjustment.
(6) The Medicare
adjustments to prior base year data.
B. If Medicare does not require a hospital to
file a complete cost report, that hospital must, no later than February 1
preceding a rebased rate year, provide true, complete, and authorized Medicare
cost report data under the cost finding methods and allowable costs in effect
during the base year.
Subp.
2.
Establishment of base years.
A. The base year for the 1993 rate year shall
be each Minnesota and local trade area hospital's most recent Medicare cost
reporting period ending prior to September 1, 1988. If that cost reporting
period is less than 12 months, it must be supplemented by information from the
prior cost reporting period so that the base year is 12 months except for
hospitals that closed during the base year.
B. The base year data will be moved forward
three years beginning with the 1995 rate year. The base year data will be moved
forward every two years after 1995 or every one year if notice is provided at
least six months prior to the rate year by the department. For long-term care
hospitals that open after April 1, 1995, the base year is the year for which
the hospital first filed a Medicare cost report as a long-term care hospital.
That base year shall remain until it falls within the same period as other
hospitals.
Notes
Statutory Authority: MS s 256.9685; 256.969; 256.9695;
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