Section 30-10 - Hospital specific levels of care (a) The Department shall reimburse the following levels of care using hospital specific payment rates, unless reimbursed as specialty services: - (ii) Intensive care unit ("ICU")/Cardiac care unit ("CCU") services/Burn Care.
- (iii) Level of care psychiatric services; and
- (iv) Rehabilitation services.
(b) Determination of payment rates. The payment rates for hospital specific levels of care shall be: - (i) The hospital's base period allowable Medicaid per discharge costs, determined pursuant to Section 9;
- (ii) The inflation adjustment established pursuant to Section 20;
- (iii) The capital payment determined pursuant to Section 18; and
- (iv) The direct medical education payment determined pursuant to Section 19.
(c) Caps for hospital specific payment rates. - (i) Payment rates for hospital specific levels of care shall not exceed one-hundred ten (110) percent of the median cost per discharge for all participating providers except children's hospitals.
- (ii) Payment rates for children's hospitals shall not exceed one-hundred fifty (150) percent of the median cost per discharge for all participating providers.
- (iii) For purposes of this subsection, providers with five or fewer discharges during the period from July 1, 1994, through December 31, 1996, were not considered.
048-30 Wyo. Code R. § 30-10