Definitions

As used in 101 CMR 129.00, unless the context requires otherwise, terms shall have the following meanings: Base Year. The fiscal year two years prior to the rate year. Center. The Center for Health Information and Analysis established under M.G.L. c. 12C. EOHHS. The Executive Office of Health and Human Services established under M.G.L. c. 6A. Final Inpatient Per Diem Rate. The all-inclusive inpatient rate based upon the costs from the rate year filing of the ICF Cost Reports. This final rate is set once EOHHS’s review is complete, thereby replacing the initial rate. Governmental Unit. The Commonwealth of Massachusetts and any department, agency, board, commission, division, or political subdivision of the Commonwealth. ICF Cost Report. The cost report for ICFs beginning with fiscal year 1996. Initial Per Diem Rate. The temporary all-inclusive inpatient rate based upon the cost from the base year filing of the ICF Cost Reports, inflated to the rate year. Inpatient Day. HURM standard unit of measure to report care of patients admitted to a hospital including the day of admission, but not the day of discharge. If both admission and discharge occurs on the same day, the day is considered a day of admission and counts as one inpatient day. Intermediate Care Facility (ICF). An ICF is an institution whether operated for profit or charity, advertised, announced, established or maintained for the purpose of providing diagnostic, medical, surgical, or restorative treatment for patients within or centrally based in an institution and licensed as a hospital by the Department of Public Health under M.G.L. c.111, §51 and any hospital licensed under M.G.L. c.19, §19. Publicly Aided Patient. A person who receives health care and services for which a governmental unit is in whole or part liable under a statutory program of public assistance. Rate Year. The rate year is the 12 month period, July 1 through June 30, to which the related rate applies.