Rule 290-2-26-.03 - Procedures for Determining Cost of Care(1) Payments received by the hospital or physician from the patient, the patient's spouse, family member, father of the patient's child, insurance, or any other third party payor other than the county, shall constitute payment to the hospital or physician and shall be excluded from the definition of cost of care.(2) When a hospital provides care to a woman who is not a resident of the same county,"cost of care" is the actual charges for care rendered or the Medicaid reimbursement rate for the same care in the hospital in the woman's county of residence, whichever is less. If the woman's county of residence has more than one hospital, the rate is the average Medicaid rate of all the hospital's in the woman's county of residence or actual charges, whichever is less.Ga. Comp. R. & Regs. R. 290-2-26-.03
O.C.G.A. section § 31-8-43.
Original Rule entitled "Procedures for Determining Cost of Care" was adopted as Emergency Rule 290-2-26-0.5-.03. Filed June 19, 1985; effective June 19, 1985, the date of adoption, to remain in effect for a period of 120 days or until the effective date of a permanent Rule covering the same subject matter superseding this Emergency Rule, as specified by the Agency. (This Emergency Rule expired October 16, 1985.)Amended: Permanent Rule of the same title adopted. Filed October 18, 1985; effective November 7, 1985.