55 Pa. Code § 1151.42 - Payment methods and rates
(a) The Department will pay inpatient
psychiatric facilities a payment rate based on cost items that are determined
to be allowable under §
1151.44 (relating to allowable
costs).
(b) The Auditor General
will audit each inpatient psychiatric facility's cost report to determine
allowable costs under State and Federal regulations.
(c) Out-of-State private psychiatric
hospitals are reimbursed under §
1151.50 (relating to payment for
out-of-State private psychiatric hospital services).
(d) Payment for inpatient hospital services,
including acute care general hospitals and their district part units, private
psychiatric hospitals and freestanding rehabilitation hospitals, will not be
made in excess of the amount which would be paid in the aggregate for those
services under Medicare principles of reimbursement in 42 CFR Part 413
(relating to principles of reasonable cost reimbursement; payment for end-stage
renal disease services).
Notes
The provisions of this § 1151.42 amended under sections 201 and 443.1(1) of the Public Welfare Code (62 P. S. §§ 201 and 443.1(1)).
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