Subsection 351-5-3-09 - FACILITY TRANSFERSThe following applies to facility transfers when a patient is transferred for continuation of medical treatment between two hospitals:
1. A hospital transferring a patient is paid as follows: The MS-DRG reimbursement amount is divided by the number of days duration listed for the DRG; the resultant per diem amount is then multiplied by two for the first day of stay at the transferring hospital; the per diem amount is multiplied by one for each subsequent day of stay at the transferring hospital; and the amounts for each day of stay at the transferring hospital are totaled. If the result is greater than the MS-DRG reimbursement amount, the transferring hospital is paid the MS-DRG reimbursement amount. Associated outliers and add-ons are then added to the payment.2. A hospital discharging a patient is paid the full MS-DRG payment plus any appropriate outliers and add-ons.3. Facility transfers do not include costs related to transportation of a patient to obtain medical care. Costs related to transportation are payable separately. C.M.R. 90, 351, ch. 5, § 351-5-3, subsec. 351-5-3-09