Conn. Agencies Regs. § 17-312-103

Current through October 16, 2024
Section 17-312-103 - Medicaid interim per diem rate
(a)Interim Rate Computation

The Department will reimburse inpatient acute care services based on an interim per diem rate subject to cost settlement per Section 17-312-104(b) of these regulations.

(b) The interim rate is calculated for each hospital as follows:

The target amount per discharge from the most recently filed cost report will be increased by the estimated TEFRA update factors from the cost report period to the interim rate period. The product will be the rate period estimated target amount per discharge.

The Department will divide the estimated target amount per discharge by the average length of stay as calculated from the most recently filed cost report to determine an interim per diem rate of payment. To this quotient will be added the estimated per diem costs of those items excludable from the TEFRA calculation as defined in Section 17-312-105(d) of these regulations. The sum of this calculation is the Medicaid interim per diem rate.

(c)Information and Notification

Information Requirements

All hospitals must provide adequate cost data annually based on financial and statistical records for the year ending September 30. The hospital must submit a cost report each year on forms prescribed by the Department. The Department requires that these reports be completed and filed within 60 days after issuance. The cost data must be based on an approved method of cost finding and on the accrual basis of accounting. If the filing is not done on a timely basis, the Department may withhold payment to the provider.

Conn. Agencies Regs. § 17-312-103

Effective January 19, 1988