10A NCAC 45A .0402       REIMBURSEMENT FOR INPATIENT HOSPITALIZATION

(a)  The Department shall reimburse providers of authorized inpatient services for payment programs governed by Commission for Public Health at the Medicaid rate in effect on the date of service.

(b)  In addition to the requirements of Paragraph (a) of this Rule, in the Cancer Program there shall be a limit on the payment for an inpatient admission of one percent of the program's current annual budget.

History Note:        Authority G.S. 130A-5(3); 130A-124; 130A-127; 130A-129; 130A-205; 130A-223;

Eff. October 1, 1982;

Temporary Amendment Eff. August 31, 1983, for a Period of 120 Days to Expire on December 29, 1983;

Amended Eff. May 1, 1987; July 1, 1986; January 1, 1985;

Transferred and Recodified from 10 NCAC 4C .0402 Eff. April 4, 1990;

Amended Eff. February 1, 1992; December 1, 1990;

Temporary Amendment Eff. July 6, 1992 for a Period of 180 Days or Until the Permanent Rule is Effective, Whichever is Sooner;

Amended Eff. April 1, 1999; July 1, 1995; October 1, 1992;

Temporary Amendment Eff. August 23, 1999;

Amended Eff. January 1, 2014; August 1, 2000;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 13, 2015.