Section He-W 543.08 - Transfer of Recipient(a) A hospital which transfers or discharges a recipient from a unit in a hospital to the same type of unit in another hospital for continued inpatient hospital services shall be paid 100 percent of the per diem for each day of care, not to exceed the DRG rate, except for rehabilitative and newborn cases, which shall be paid in accordance with He-W 543.13(a) .(b) A hospital which transfers or discharges a recipient to a different type of unit in another hospital, or different type of unit within the same hospital for continued inpatient hospital services, shall be paid according to the DRG payment designated for the type of services provided, plus day outlier payments, if applicable.(c) The receiving hospital which does not transfer a recipient to another hospital shall be paid the DRG rate, plus day outlier payments, if applicable, when the recipient is discharged.(d) If a recipient is transferred back, or readmitted to the original admitting hospital unit for continuing treatment, only one DRG payment, plus day outlier payments if applicable, shall be paid for the combined initial admission and subsequent readmission to that hospital unit.(e) The hospital unit which receives and then transfers a recipient back to the original admitting hospital unit shall also be considered a transferring hospital and shall be paid in accordance with He-W 543.08(a) or He-W 543.08(b) , as applicable, above.N.H. Admin. Code § He-W 543.08
(See Revision Note at chapter heading He-W 500); ss by #5897, eff 9-19-94, EXPIRED 9-19-00
New. #7399, eff 11-2-00, EXPIRED: 11-2-08
New. #9324, eff 11-21-08
Amended by Volume XXXVII Number 10, Filed March 9, 2017, Proposed by #12103, Effective 2/9/2017, Expires 2/9/2027.