Current through Register Vol. XLI, No. 50, December 13, 2024
Section 65-03-2 - DefinitionsAs used in this rule, all terms have the same meaning as provided in the definition section of the Health Care Cost Review Authority Act, West Virginia Code, section three, article twenty-nine-b, chapter sixteen. Definitions of additional terms are set forth below and whenever those terms are used, the following definitions apply, except where the context may expressly otherwise require.
2.1. "Act" means the West Virginia Health Care Cost Review Authority Act, West Virginia Code, article twenty-nine-b, chapter sixteen.2.2. "Authority" means the West Virginia Health Care Cost Review Authority, an autonomous division within the State Department of Health.2.3. "Gross Revenue" means a hospital's gross patient revenue plus all operating and nonoperating revenues from whatever source.2.4. "Hospital" means: 2.4.1. A facility subject to licensure as such under the provisions of West Virginia Code, article five-b, chapter sixteen; or2.4.2. Any acute care facility operated by the state government which is primarily engaged in providing to inpatients, by or under the supervision of physicians, diagnostic and therapeutic services for medical diagnosis, treatment and care of injured, disabled or sick persons; but, in either event, does not include state mental health facilities, facilities primarily engaged in rendering psychiatric diagnosis, treatment and care or state long-term care facilities.2.5. "Methodology" means the Hospital Cost Containment Methodology, together with all of its appendices. The methodology is a statement of policy by which the board makes its decisions in rate-setting matters and is filed as a Legislative Rule with the Secretary of State.