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016.06.20-250.321. Minimum Qualifying Utilization Rates.

AR ADC 016.06.20-250.321Arkansas 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 016.06.20-250.321
016.06.20-250.321. Minimum Qualifying Utilization Rates.
Currentness
A. Qualification by the Medicaid inpatient utilization rate:
1. Rural hospitals can qualify with a Medicaid inpatient utilization rate at least one-half standard deviation above the mean Medicaid inpatient utilization rate for all in-state hospitals.
2. Urban hospitals must have a Medicaid inpatient utilization rate at least one standard deviation above the mean Medicaid inpatient utilization rate for all in-state hospitals in order to qualify by means of this indicator.
B. Qualification by the low-income utilization rate:
1. Rural hospitals can qualify for disproportionate share payments with low-income utilization rates exceeding 25%.
2. Urban hospitals can qualify for DSH payments with low-income utilization rates exceeding 25%.

Credits

Eff. Oct. 13, 2003.
<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 016.06.20-250.321, AR ADC 016.06.20-250.321
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