Payment for Inpatient Services Furnished by an Indian Health

30.1.1.1 - Payment for Inpatient Services Furnished by an Indian Health Service (IHS) or Tribal CAH (Rev. 231, Issued 07-23-04, Effective: 01-01-04, Implementation: 01-03-05) Reimbursement to IHS or Tribal CAHs for covered inpatient services is based on a facility specific per diem rate that is established on a yearly basis from the most recently filed cost report information. Payment for inpatient IHS or Tribal CAH services is at 100% of the facility specific per diem rate less applicable deductible and coinsurance. Inpatient services should be billed on an 11X type of bill. Beginning January 1, 2004, IHS or Tribal CAHs are paid 101% of the facility specific per diem rate.