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.
471 Neb. Admin. Code, ch. 46, § 005