Cal. Code Regs. tit. 22 § 57033

Current through Register 2025 Notice Reg. No. 2, January 10, 2025
Section 57033 - Supplemental Reimbursement Calculation
(a) The eligible hospital's supplemental reimbursement for a capital expenditure project which has been certified under section 57030 shall be calculated as follows:
(1) For each year in which the hospital is eligible to receive supplemental reimbursement, the hospital shall report to the Department the amount of debt service incurred for that portion of the capital expenditure project that represents the costs of the construction, renovation, or replacement of hospital facilities, including buildings and fixed equipment, which are available and accessible to Medi-Cal patients and provides services that are related to a covered service and reimbursable by the Medi-Cal program or successor program.
(2) The Department shall use the Medicaid inpatient utilization rate formula as specified in the Medicaid State Plan Attachment 4.19-A, pages 18-29, to determine the ratio of the hospital's total paid Medi-Cal patient days to total paid patient days.
(3) The supplemental reimbursement to the eligible hospital for each fiscal year shall equal the amount determined annually in subsection (a)(1) multiplied by the percentage resulting from dividing the number of Medi-Cal paid patient days by the total number of paid patient days.
(4) The supplemental reimbursement shall not be decreased by more than 10% of the initial ratio derived under subsection (a)(2) prior to the retirement of the debt.

Cal. Code Regs. Tit. 22, § 57033

1. New section filed 10-5-89 as an emergency; operative 10-5-89 (Register 89, No. 41). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 2-2-90.
2. New section filed 2-9-90 as an emergency; operative 2-6-90 (Register 90, No. 11). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 6-6-90.
3. Certificate of Compliance as to 2-6-90 order including amendments transmitted to OAL 6-5-90 and filed 6-22-90 (Register 90, No. 34).

Note: Authority cited: Sections 10725, 14105 and 14124.5, Welfare and Institutions Code. Reference: Section 14085.5, Welfare and Institutions Code.

1. New section filed 10-5-89 as an emergency; operative 10-5-89 (Register 89, No. 41). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 2-2-90.
2. New section filed 2-9-90 as an emergency; operative 2-6-90 (Register 90, No.11). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 6-6-90.
3. Certificate of Compliance as to 2-6-90 order including amendments transmitted to OAL 6-5-90 and filed 6-22-90 (Register 90, No. 34).