ARM 37.86.2912. INPATIENT HOSPITAL PROSPECTIVE REIMBURSEMENT, CAPITAL-RELATED COSTS

(1) The department will reimburse inpatient hospital service providers located in the state of Montana for capital-related costs that are allowable under Medicare cost reimbursement principles as set forth at 42 CFR 412.113(a), as amended through October 1, 2007. The department adopts and incorporates by reference 42 CFR 412.113(a) and (b), as amended through October 1, 2007, which set forth Medicare cost reimbursement principles. Copies of the cited regulation may be obtained from the Department of Public Health and Human Services, Health Resources Division, 1400 Broadway, P.O. Box 202951, Helena, MT 59620-2951. (2) Capital expenses are included within the APR-DRG base payment and will not be paid separately to PPS facilities and will not be cost settled. (3) The interim payment made to CAH and exempt facilities is based on the hospital specific cost to charge ratio and includes capital costs.