5160-2-65 Inpatient hospital reimbursement.

 

 

 

PUBLIC HEARING NOTICE OHIO DEPARTMENT OF MEDICAID

 

DATE:           October 21, 2016

TIME:              11:00 a.m.

LOCATION: Room A401, Lazarus Building

50 West Town Street, Columbus, OH 43215

 

Pursuant to section 5164.02 and Chapter 119. of the Ohio Revised Code, the Director of the Ohio Department of Medicaid (Department) gives notice of the Department's intent to adopt, amend, or rescind Ohio Administrative Code (OAC) rule 5160-2-65 and of a public hearing thereon.

 

Rule 5160-2-65, entitled Inpatient hospital reimbursement, is being proposed for amendment. This rule sets forth the Medicaid inpatient hospital reimbursement methodology for hospitals subject to prospective payment. The Department is proposing to amend the rule by postponing until June 30, 2017, the end date of the stop loss/stop gain provision. On July 1, 2013, a stop loss/stop gain provision was enacted to prevent large swings (either up or down) in hospital reimbursements. The provision was to end on December 31, 2016. The Department is planning on rebasing inpatient hospital base rates effective July 1, 2017. If the Department does not extend the end date of the stop loss/stop gain provision, those hospitals in a stop loss will experience further loss of inpatient hospital base rates and those hospitals in a stop gain will experience further gain of inpatient hospital base rates. The Department is also proposing to correct an incorrect OAC citation and misspelled word.

 

A copy of the proposed rule is available, without charge, at the address listed below. The rule is also available on the internet at http://www.registerofohio.state.oh.us/. A public hearing on the proposed rule will be held at the date, time, and location listed at the top of this notice. Both written and oral testimony will be taken at the public hearing.

 

Additionally, written comments submitted or postmarked no later than the date of the public hearing will be treated as testimony. They should be submitted by mail to the Ohio Department of Medicaid Rule Administrator, Office of Legal Counsel, 50 West Town Street, Suite 400, Columbus, Ohio 43215-3414, by fax at [phone], or by e-mail at [e-mail]. Testimony received may be reviewed at the 50 West Town Street address.