MO-10-12

This amendment provides the State Fiscal Year (SFY) 2011 trend factor and specifies that it will not be applied in determining payments; clarifies the per diem rate, Direct Medicaid payments and uninsured payments for facilities that do not have a fourth prior year base cost report and facilities previously certified for MO HealthNet that had terminated and are reopening; indicates the Missouri Specific Trend Factor will not be applied in determining payments; clarifies the safety net adjustment relating to the uninsured payment for Department of Mental Health facilities; and, specifies the process to be used in finalizing DSH payments as a result of the findings of the federally-mandated DSH audits.