471 Neb. Admin. Code, ch. 46, § 014

Current through June 17, 2024
Section 471-46-014 - RATE-SETTING FOR A NEW OPERATIONAL FACILITY

The Department shall establish a prospective per discharge rate for a new operational facility for Peer Groups 1-5. The rate will be the average peer group rate for the respective peer group for the new facility. For critical access hospitals, the rate will be determined individually for each hospital based on reasonable cost. The peer groups are: Metro acute care hospitals, hospitals located in a metropolitan statistical area as designated by Medicare; Other urban acute care hospitals, hospitals that have been redesignated to an metropolitan statistical area by Medicare for federal fiscal year 1995 or 1996 or hospitals designated by Medicare as a regional rural referral center; rural acute care hospitals, all other acute care hospitals with 30 or more base year Medicaid discharges; Psychiatric Hospitals and distinct part units in acute care hospitals, hospitals that are licensed as psychiatric hospitals by the Department and distinct parts as defined in these regulations; Rehabilitation hospitals and distinct part units in acute care hospitals, hospitals that are licensed as rehabilitation hospitals by the Department and distinct parts as defined in these regulations; and critical access hospital, hospitals that are certified as critical access hospitals by Medicare.

471 Neb. Admin. Code, ch. 46, § 014

Adopted effective 6/6/2022