Chapter 1739.2 - AUTHORIZATION, PAYMENT, AND CLAIMS IN THE FEE-FOR-SERVICE MEDICAL ASSISTANCE PROGRAM - LONG TERM CARE PROSPECTIVE PAYMENT SYSTEM
- Section 17-1739.2-1 - REPEALED
- Section 17-1739.2-2 - General provisions - purpose and objective
- Section 17-1739.2-3 - Reimbursement principles
- Section 17-1739.2-4 - Services included in the basic PPS rate
- Section 17-1739.2-5 - Classification of long-term care providers into peer groups
- Section 17-1739.2-6 - Basic PPS rate calculation methodology
- Section 17-1739.2-7 - Data sources for rate calculation
- Section 17-1739.2-8 - Calculation of component per diem costs by reference to each provider's base year cost report
- Section 17-1739.2-9 - Application of component rate ceilings
- Section 17-1739.2-10 - Treatment of new providers without historical costs
- Section 17-1739.2-11 - Treatment of new beds without historical costs
- Section 17-1739.2-12 - Transition of new providers and new beds into the PPS
- Section 17-1739.2-13 - Treatment of providers who provide acuity level D care
- Section 17-1739.2-14 - Application of inflation and other adjustments to establish provider-specific prospective payment rates
- Section 17-1739.2-15 - Limitations on long-term care provider reimbursement
- Section 17-1739.2-16 - Adjustments to base year cost
- Section 17-1739.2-17 - Rebasing the basic PPS rates
- Section 17-1739.2-18 - Adjustments to the basic PPS rates
- Section 17-1739.2-19 - Administrative review - rate reconsideration
- Section 17-1739.2-20 - Cost report requirements
- Section 17-1739.2-21 - Acuity based reimbursement system
- Section 17-1739.2-22 - Audit requirements
- Section 17-1739.2-23 - Bed-hold requirements for long-term care
- Section 17-1739.2-24 - Public process
- Exhibit A - ACUITY BASED LONG TERM CARE REIMBURSEMENT RATES (JULY 2003)