Okla. Admin. Code § 317:30-5-96.4
Current through Vol. 42, No. 4, November 1, 2024
Subject to approval by the Centers for Medicare and Medicaid Services (CMS), an outlier payment may be made to instate hospitals and PRTFs on a case by case basis, to promote access for those members who require expensive care. The intent of the outlier adjustment is to reflect the increased staffing requirements, co-morbidities and longer lengths of stay, for children with developmental disabilities or eating disorders. This adjustment is limited to 60 days annually.
Okla. Admin. Code § 317:30-5-96.4