471 Neb. Admin. Code, ch. 46, § 010
The Department pays out-of-state hospitals for hospital inpatient services at the peer group rate for a like peer group of Nebraska hospitals. The peer groups are: metro acute care hospitals, hospitals located in a metropolitan statistical area as designated by Medicare; rural acute care hospitals, all other acute care hospitals; psychiatric hospitals and distinct part units in acute care hospitals, hospitals that are licensed as psychiatric hospitals by the licensing agency of the state in which the hospital is located and distinct parts as defined in this chapter; and rehabilitation hospitals and distinct part units in acute care hospitals, hospitals that are licensed as rehabilitation hospitals by the licensing agency of the state in which the hospital is located and distinct parts as defined in this chapter. Operating cost payment amounts are calculated based on the appropriate peer group base payment amount. Capital-related cost payments are made based on the peer group weighted median capital per diem rate. Effective September 1, 2003, capital costs will be calculated as 96.85% of the peer group weighted median cost per day. The cost-to-charge ratio is the peer group average. Payments for psychiatric and rehabilitation services provided by out-of-state hospitals are made on a prospective per diem. Hospitals are paid based on the peer group per diem rate for the appropriate type of service. Operating cost payment amounts are calculated based on the appropriate peer group per diem rate. Capital-related cost payments are made based on the peer group weighted median capital per diem rate. The Department may allow payments to out-of-state hospitals for direct or indirect medical education costs at a negotiated per discharge rate.
471 Neb. Admin. Code, ch. 46, § 010