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016.06.20-250.240. Limited Acute Care Hospital Inpatient Quality Incentive Payment.

AR ADC 016.06.20-250.240Arkansas 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 016.06.20-250.240
016.06.20-250.240. Limited Acute Care Hospital Inpatient Quality Incentive Payment.
Currentness
A. Effective for claims with dates of service on or after July 1, 2006, all acute care hospitals with the exception of pediatric hospitals, Arkansas State operated teaching hospitals, rehabilitative hospitals, inpatient psychiatric hospitals, critical access hospitals, and out-of-state hospitals (in both bordering and non-bordering states) may qualify for an Inpatient Quality Incentive Payment (IQIP).
B. Effective for claims with dates of service on and after January 1, 2007, Border City, University-Affiliated Pediatric Teaching Hospitals do not qualify for an Inpatient Quality Incentive Payment.
1. An IQIP is a per diem-based payment in addition to the hospital's cost-based interim per diem.
2. A qualifying hospital's IQIP is the lesser of $50 (per Medicaid-covered day during the subject cost-reporting period) or 5.8% (also per Medicaid-covered day) of the hospital's interim per diem.
C. Annually, Arkansas Medicaid will designate the quality measures to be reported and will establish a required compliance rate for each measure.
1. To the extent practicable, Medicaid will attempt to choose the quality measures that hospitals report to the Title XVIII (Medicare) Program.
2. To qualify for an IQIP, a hospital must meet or exceed Medicaid's required compliance rate on two-thirds (66.7%) of Arkansas Medicaid's designated quality measures for the most recently completed reporting period.
3. A hospital that meets or exceeds the compliance rate on 66.7% of a reporting period's specified quality measures will receive an IQIP for that year.

Credits

Eff. July 1, 2007.
<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 016.06.20-250.240, AR ADC 016.06.20-250.240
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