To update the following hospital inpatient services effective July 1, 2016: 1) Transition from V.32 to V.33 of the 3M Health Information System Hospital Inpatient APR-DRG Grouper, 2) Transition from V.32 to V.33 of the 3M Health Information System Hospital Inpatient Hospital Acquired Conditions Utility, 3) Update Appendix B "Out-of-State Hospital Transplant Services' Care Rates Effective July 1, 2016," to the most recent amounts as published by Milliman, and 4) Update Sections 2-1F. "Cost Reporting, What to Submit" and 2-1.H.5 "Provider Notification" to clarify that fee-for-service and coordinated care organization (CCO) Medicaid settlement data must be combined and reported on cost reports and that failure to provide cost report information will result in a provider's average cost-to-charge ratio for the bed class in which the hospital falls.
State
Approval Date
Effective Date
File 1 - Approval Document Media