N.H. Admin. Code § He-P 309.13

Current through Register No. 45, November 7, 2024
Section He-P 309.13 - Fees

Pursuant to RSA 151:36, the department shall assess a fee to hospitals, ambulatory surgical centers, and end stage renal dialysis centers that are required to report under RSA 151:33 to support the program's approved annual operating budget and which shall be proportional to the total number of measures reported by all hospitals, ambulatory surgical centers, and end stage renal dialysis, as follows:

(a) The base amount for the hospitals' portion of the annual operating budget shall be proportional to the total number of measures reported, as described by the reporting categories in He-P 309.02(a) through (c) , by all hospitals in the state;
(b) Of that base amount stated in (a) above, each hospital shall pay a fee based on the appropriate fee category for that hospital;
(c) There shall be 5 proportional fee categories based on the hospital's number of beds, which shall total the base amount of payment that is required by hospitals;
(d) The fee categories and the proportional rates of the budgeted amounts for hospitals shall be as follows:
(1) Specialty hospitals at 0.900%;
(2) Less than 25 beds at 2.500%;
(3) 25-199 beds at 4.500%;
(4) 200-299 beds at 5.240%; and
(5) 300 beds or more at 5.880%;
(e) The number of beds attributed to each hospital shall be the number of beds for which the hospital is licensed by the department's bureau of health facilities administration, in accordance with He-P 802, at the time the fees are assessed;
(f) All ambulatory surgical centers shall report the number of procedures for the previous calendar year to the department by email to HAIprogram@dhhs.nh.gov on or before March 1st of the following year;
(g) The base amount for the ambulatory surgical centers' portion of the annual operating budget shall be proportional to the total number of measures reported, as described by the reporting categories in He-P 309.02(c) and (d) , by all ambulatory surgical centers in the state;
(h) Of that base amount stated in (g) above, each ambulatory surgical center shall pay a fee based on the appropriate category for that ambulatory surgical center;
(i) There shall be 3 proportional fee categories based on the range of procedures performed annually at an ambulatory surgical center, which shall total the base amount of payment that is required by ambulatory surgical centers;
(j) The proportional fee categories and the total percentage of the budget for that category shall be:
(1) No operative procedures at 20%;
(2) 1-1,499 operative procedures annually at 35%; and
(3) More than 1,500 operative procedures annually at 45%;
(k) The total proportion of the budget for that procedure fee category shall be split equally among all facilities that fall within that category;
(l) The base amount for the end stage renal dialysis center portion of the annual operating budget shall be proportional to the total number of measures reported, as described by the reporting categories in He-P 309.02(a) and (b) , by all end stage regnal dialysis centers in the state;
(m) Of that base amount stated in (l) above, each end stage renal dialysis center fee is based on a flat fee for all end stage renal dialysis;
(n) The department shall notify hospitals, ambulatory surgical centers, and end stage renal dialysis centers the fee assessed to them upon passage of the program's operating budget and then annually each year of the biennium;
(o) A hospital or ambulatory surgical center that is not licensed during the entire base year but is licensed at the time the fees are assessed shall pay the lowest fee category for that year; and
(p) Hospitals, ambulatory surgical centers, and end stage renal dialysis center shall send the fee for the annual amount to the department within 30 days after notification.

N.H. Admin. Code § He-P 309.13

Derived from Volume XL Number 2, Filed January 9, 2020, Proposed by #12943, Effective 12/11/2019, Expires 12/11/2029.