§ 3241.2. Definitions
Oklahoma Statutes AnnotatedTitle 63. Public Health and SafetyEffective: May 26, 2022
Effective: May 26, 2022
63 Okl.St.Ann. § 3241.2
§ 3241.2. Definitions
As used in the Supplemental Hospital Offset Payment Program Act:
3. “Contracted entity” has the same meaning as provided by Section 2 of Enrolled Senate Bill No. 1337 of the 2nd Session of the 58th Oklahoma Legislature;1
7. “Hospital Advisory Committee” or “Committee” means the Committee established to advise the Oklahoma Health Care Authority regarding the design and implementation of the Supplemental Hospital Offset Payment Program. The Committee shall be composed of five (5) members chosen from a list of recommendations submitted by a statewide association representing rural and urban hospitals, as follows:
The Committee shall meet no less than annually and shall be consulted by the Authority at least thirty (30) days prior to submission of any proposed state plan amendment or proposed directed payment application and prior to adoption of any administrative rule that may affect either the assessments or hospital access payments authorized by this act;
In calculating the managed care gap, the Authority shall use a ninety percent (90%) average commercial rates benchmark for determining the maximum amount that will be paid for hospital inpatient and outpatient services, subject to approval by the federal Centers for Medicare and Medicaid Services. The Authority may make the calculation in this paragraph using good-faith reasonable estimates if complete data does not exist or is not available;
9. “Medicaid” means the medical assistance program established in Title XIX of the federal Social Security Act2 and administered in this state by the Oklahoma Health Care Authority;
11. “Net hospital patient revenue” means the gross hospital revenue as reported on Worksheet G-2 (Columns 1 and 2, Lines “Total inpatient routine care services”, “Ancillary services”, and “Outpatient services”) of the Medicare Cost Report, multiplied by the hospital's ratio of total net to gross revenue, as reported on Worksheet G-3 (Column 1, Line “Net patient revenues”) and Worksheet G-2 (Part I, Column 3, Line “Total patient revenues”);
Credits
Laws 2011, c. 228, § 2; Laws 2013, c. 132, § 1, eff. Nov. 1, 2013; Laws 2016, c. 345, § 1, eff. Nov. 1, 2016; Laws 2019, c. 56, § 1, eff. Nov. 1, 2019; Laws 2021, c. 518, § 1; Laws 2022, c. 398, § 1, emerg. eff. May 26, 2022.
63 Okl. St. Ann. § 3241.2, OK ST T. 63 § 3241.2
Current with emergency effective legislation through Chapter 3 of the Second Regular Session of the 59th Legislature (2024). Some sections may be more current, see credits for details.
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