016.06.20-250.430. Hospitals Qualifying under the Low Income Utilization.
AR ADC 016.06.20-250.430Arkansas Administrative Code
Ark. Admin. Code 016.06.20-250.430
016.06.20-250.430. Hospitals Qualifying under the Low Income Utilization.
A. Urban and rural acute care hospitals qualifying for disproportionate share payments based on their low income utilization rate receive an amount based on the difference between the hospital's low income utilization rate and the threshold rate of 25%. (A hospital's low-income utilization rate must exceed 25% to qualify the hospital for disproportionate share payments.)
The expression “fiscal year Medicaid per diem reimbursement” is quoted exactly as it appears in the Social Security Act. It does not refer to the interim per diem. It means the allowable costs from the provider's cost report.
Total reimbursement for Hospital H's allowable costs for fiscal year 2001 is $ 1,363,032.00. The hospital's low-income utilization rate is 39.3 percent.
$ 1000.00 + 0.04 x (0.393 - 0.25) x $ 1,363,032.00 =
$ 1000.00 + (0.04 x 0.143) x 1,363,032.00 =
$ 1000.00 + (.00572 x 1,363,032.00) =
$ 1000.00 + $ 7796.54 = $ 8,796.54
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 016.06.20-250.430, AR ADC 016.06.20-250.430
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