471 NAC 46-009. PAYMENT FOR LONG-TERM ACUTE CARE HOSPITAL (LTACH) SERVICES

009. PAYMENT FOR LONG-TERM ACUTE CARE HOSPITAL (LTACH) SERVICES. Payments for long-term acute care hospitals (LTACH) discharges are made on a prospective per diem basis, depending on whether the beneficiary requires ventilator or non-ventilator services, whichever is applicable, as determined by prior authorization review. A prior authorization is required for all long-term acute care hospital (LTACH) services for either ventilator or non-ventilator services. The per diem will be the sum of long-term acute care hospital (LTACH) ventilator or non-ventilator services per diem; and direct medical education (DME) cost payment, if applicable. Payment for each discharge equals the per diem basis times the number of approved beneficiary days. Payment is made for the day of admission but not the day of discharge. Per diem payment amounts are subject to annual adjustment as specified by Nebraska Legislative appropriations.