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016.06.20-250.220. Customary Charges.

AR ADC 016.06.20-250.220Arkansas Administrative Code

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 20. Hospital/Critical Access Hospital (CAH)/End-Stage Renal Disease (ESRD) Provider Manual (Refs & Annos)
Section 250.000. Reimbursement.
Ark. Admin. Code 016.06.20-250.220
016.06.20-250.220. Customary Charges.
Currentness
A. The lesser of allowable costs and charges is the amount to be compared to the upper limit amount.
1. The amount carried forward from the TEFRA rate-of-increase limitation calculations is compared to the hospital's charges for services furnished during the cost reporting period to Medicaid-eligible inpatients aged one year and older.
2. The lesser amount is carried forward for comparison to the upper limit amount.
B. Charges are obtained from the hospital's inpatient Medicaid claims for dates of service within the cost reporting period.

Credits

Eff. July 1, 2006.
<Editor’s Note: Nonfunctioning links so in original.>
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.20-250.220, AR ADC 016.06.20-250.220
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