Nebraska · Regulations
Chapter 46 — RATES FOR HOSPITAL SERVICES
28 sections
28 sections
- 471 NAC 46-001471 NAC 46-001. SCOPE AND AUTHORITY
- 471 NAC 46-002471 NAC 46-002. DEFINITIONS
- 471 NAC 46-003471 NAC 46-003. PAYMENT FOR PEER GROUPS 1 METRO, 2 URBAN AND REGIONAL RURAL REFERRAL, 3 RURAL, AND 10 CHILDREN’S
- 471 NAC 46-004471 NAC 46-004. NON-PAYMENT FOR HOSPITAL ACQUIRED CONDITIONS (HAC)
- 471 NAC 46-005471 NAC 46-005. PAYMENTS FOR PSYCHIATRIC INPATIENT SERVICES
- 471 NAC 46-006471 NAC 46-006. PAYMENT FOR IN-STATE OUTPATIENT HOSPITAL AND EMERGENCY ROOM SERVICES
- 471 NAC 46-007471 NAC 46-007. PAYMENTS FOR REHABILITATION SERVICES
- 471 NAC 46-008471 NAC 46-008. PAYMENT FOR SERVICES FURNISHED BY A CRITICAL ACCESS HOSPITAL (CAH)
- 471 NAC 46-009471 NAC 46-009. PAYMENT FOR LONG-TERM ACUTE CARE HOSPITAL (LTACH) SERVICES
- 471 NAC 46-010471 NAC 46-010. PAYMENT FOR OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES IN A HOSPITAL
- 471 NAC 46-011471 NAC 46-011. RATES FOR STATE-OPERATED INSTITUTIONS FOR MENTAL DISEASE (IMD)
- 471 NAC 46-012471 NAC 46-012. DISPROPORTIONATE SHARE HOSPITALS (DSH). A hospital qualifies as a disproportionate share hospital (DSH) if the hospital meets the definition of a disproportionate share hospital (DSH) and submits the required information completed, dated, and signed as follows with their Medicare cost report:
- 471 NAC 46-013471 NAC 46-013. OUT-OF-STATE HOSPITAL RATES
- 471 NAC 46-014471 NAC 46-014. FREE-STANDING PSYCHIATRIC HOSPITALS
- 471 NAC 46-015471 NAC 46-015. PAYMENT FOR NON-ACUTE ADMIN DAYS. A per diem for hospital care is paid when a Nebraska Medicaid beneficiary, who is an inpatient, no longer requires acute inpatient care and requires nursing facility level of care (LOC) upon discharge but is unable to be transferred to a nursing facility due to a lack of available nursing facility beds, or in cases when the transfer requires a guardian, a guardian has not been appointed
- 471 NAC 46-016471 NAC 46-016. PAYMENT FOR SWING BED SERVICES. A per diem that includes post-hospital 24-hour skilled nursing care services that must be provided by or under the direct supervision of professional or technical personnel and requires skilled knowledge, judgment, observation, and assessment
- 471 NAC 46-017471 NAC 46-017. RATE-SETTING FOLLOWING A CHANGE IN OWNERSHIP
- 471 NAC 46-018471 NAC 46-018. RATE-SETTING FOLLOWING A HOSPITAL MERGER
- 471 NAC 46-019471 NAC 46-019. RATE-SETTING FOR A NEW OPERATIONAL FACILITY
- 471 NAC 46-020471 NAC 46-020. DEPRECIATION
- 471 NAC 46-021471 NAC 46-021. RECAPTURE OF DEPRECIATION FROM HOSPITAL. A hospital which is sold for a profit and has received Nebraska Medicaid payments for depreciation, shall refund to Nebraska Medicaid the lower of: the amount of depreciation allowed and paid by Nebraska Medicaid; or the product of the ratio of Nebraska Medicaid allowed inpatient days to total inpatient days; and the amount of gain on the sale as determined by the Medicare intermediary
- 471 NAC 46-022471 NAC 46-022. ADJUSTMENT TO RATE
- 471 NAC 46-023471 NAC 46-023. LOWER LEVELS OF CARE (LOC)
- 471 NAC 46-024471 NAC 46-024. ACCESS TO RECORDS
- 471 NAC 46-025471 NAC 46-025. AUDITS
- 471 NAC 46-026471 NAC 46-026. PROVIDER APPEALS. A hospital may submit additional evidence and request prompt administrative review of its prospective rate within 90 days of the rate notification date according to the procedures in this title
- 471 NAC 46-027471 NAC 46-027. REQUEST FOR RATE ADJUSTMENTS
- 471 NAC 46-028471 NAC 46-028. HOSPITAL QUALITY ASSURANCE AND ACCESS ASSESSMENT. A hospital shall pay its quarterly assessment within 30 days after receipt of its quarterly directed payments