N.Y. Comp. Codes R. & Regs. Tit. 10 § 86-4.11 - Computation of basic rate for facilities other than licensed free-standing ambulatory surgery centers
(a) Rates
of payment for facilities other than licensed free-standing ambulatory surgery
centers shall be established on a prospective basis and shall be computed on
the basis of allowable fiscal and statistical data submitted by the facility
for the fiscal year ended at least 15 months prior to the year for which rates
are being set. Unless otherwise specified in this Subpart, the computed rates
shall be all-inclusive, taking into consideration total allowable costs and
total billable patient visits or procedures.
(b) Rates will be determined by applying
ceiling limitations to allowable operating costs, applying the trend factor to
the result, adding reimbursable capital costs, and dividing the sum by the
total number of visits or procedures. In the case of proprietary facilities, a
return on investment shall be added to reimbursable costs.
(c) Certification by the commissioner of
reimbursement rates of payment by governmental agencies for the period April 1,
1993 through March 31, 1994 shall be extended six months, through September 30,
1994, by applying the applicable trend factors. Rates of payment shall then be
for the fiscal-year period October 1st through September 30th. Approval by the
commissioner of reimbursement rates for article 43 corporations shall be for
the periods specified in the reimbursement formula approved by the Commissioner
of Health.
Notes
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