471 Neb. Admin. Code, ch. 46, § 005

Current through September 17, 2024
Section 471-46-005 - PAYMENTS FOR PSYCHIATRIC SERVICES

Payments for psychiatric discharges are made on a prospective per diem. Tiered rates will be used for all acute psychiatric inpatient services. This includes services provided at a facility enrolled as a provider for psychiatric services which is not a licensed psychiatric hospital or a Medicare-certified distinct part unit. Payment for each discharge equals the applicable per diem rate times the number of approved patient days for each tier. Payment is made for the day of admission, but not the day of discharge. For payment of inpatient hospital psychiatric services, effective July 1, 2014, the tiered per diem rate will be: $ 715.32 for 1 and 2 days of service; $ 661.55 for 3 and 4 days of service; $ 631.18 for 5 and 6 days of service; and $ 601.14 for 7 and greater days of service. For payment of inpatient hospital psychiatric services, effective July 1, 2015, the tiered per diem rate will be: $ 731.41 for 1 and 2 days of service; $ 676.43 for 3 and 4 days of service; $ 645.38 for 5 and 6 days of service; and $ 614.67 for 7 and greater days of service. For payment of inpatient hospital psychiatric services, effective July 1, 2016, the tiered per diem rate will be: $ 747.87 for 1 and 2 days of service; $ 691.65 for 3 and 4 days of service; $ 659.90 for 5 and 6 days of service; and $ 628.50 for 7 and greater days of service. For payment of inpatient hospital psychiatric services, effective July 31, 2019, the tiered per diem rate will be: $ 777.79 for 1 and 2 days of service; $ 719.32 for 3 and 4 days of service; $ 686.30 for 5 and 6 days of service; and $ 653.64 for 7 and greater days of service. For payment of inpatient hospital psychiatric services, effective July 1, 2020, the tiered per diem rate will be: $ 809.00 for 1 and 2 days of service; $ 748.00 for 3 and 4 days of service; $ 714.00 for 5 and 6 days of service; and $ 680.00 for 7 and 8 days of service.

005.01PAYMENT FOR PSYCHIATRIC ADULT INPATIENT SUBACUTE HOSPITAL SERVICES. Payments for psychiatric adult inpatient subacute hospital services are made on a per diem basis. This rate may be reviewed annually. Effective April 12, 2008, the payment for psychiatric adult subacute inpatient hospital services identified in state regulations was $ 488.13. Beginning July 1, 2008, the per diem rate was $ 505.21 and on November 24, 2009 onward the rate is $ 512.79. Payments for psychiatric adult inpatient subacute hospital services may be adjusted annually as specified by the Department. The subacute inpatient hospital per diem rate is not a tiered rate. Payment will be an all-inclusive per diem, with the exception of physician services.

471 Neb. Admin. Code, ch. 46, § 005

Adopted effective 6/6/2022