C.M.R. 10, 144, ch. 101, ch. III, 144-101-III-45, subsec. 144-101-III-45.08

Current through 2024-44, October 30, 2024

Subsection 144-101-III-45.08 - SUPPLEMENTAL POOL FOR NON-CRITICAL ACCESS HOSPITALS AND REHABILITATION HOSPITALS

The Department will allocate a supplemental pool for each state fiscal year among the privately owned and operated Acute Care Non-Critical Access hospitals, and rehabilitation hospitals. Allocations will not exceed the total supplemental pool amount and not exceed allowable aggregate upper payment limits.

Total annual supplemental pool amounts are available on the MaineCare Services website; or, interested parties may request a paper copy by calling (207) 624-4050 or Maine Relay number 711.

45.08-1Inpatient Pool. Effective November 14, 2019, the allocated inpatient pool amount will be distributed based on each hospital's relative share of inpatient MaineCare payments, defined as the hospital's inpatient MaineCare payment in the applicable hospital fiscal year divided by inpatient

MaineCare payments made to all privately owned and operated Acute Care Non-Critical Access hospitals and rehabilitation hospitals for the same period; multiplied by the supplemental pool. For state fiscal years beginning on or after July 1, 2019, but before July 1, 2021, the hospital's year is the hospital's fiscal year that ended during calendar year 2016.

45.08-2Outpatient Pool. Effective November 14, 2019, the allocated outpatient pool amount will be distributed based on each hospital's relative share of outpatient MaineCare payments, defined as the hospital's outpatient MaineCare payment in the applicable hospital fiscal year divided by outpatient MaineCare payments made to all privately owned and operated

Acute Care Non-Critical Access hospitals and rehabilitation hospitals for the same period; multiplied by the supplemental pool. For state fiscal year beginning on or after July 1, 2019, but before July 1, 2021, the hospital's applicable year is the hospital's fiscal year that ended during calendar year 2016.

Each hospital in the pool will receive its relative share of this supplemental payment. Supplemental payments will be distributed semiannually in November and May.

This pool will be decreased by the amount a hospital would have received if that hospital was in the pool when the total pool amount was set and subsequently becomes an approved critical access hospital.

This supplemental pool payment is not subject to cost settlement.

C.M.R. 10, 144, ch. 101, ch. III, 144-101-III-45, subsec. 144-101-III-45.08