State Plan Under Title XIX of the Social Security Act (Base plan pages)

57

Revision: HCFA‑PM‑93‑5 (BPD) OMB No.: 0938‑

AUGUST 1991

State/Territory:

Citation 4.19 Payment for Services

42 CFR 447.252 (a) The Medicaid agency meets the requirements of

1902(a)(13) 42 CFR Part 447, Subpart C, and sections

and 1923 of 1902(a)(13) and 1923 of the Act with respect to

the Act payment for inpatient hospital services.

1902(e)(7)

of the Act ATTACHMENT 4.19‑A describes the methods and

standards used to determine rates for payment for inpatient hospital services.

Inappropriate level of care days are covered and are paid under the State plan at lower rates than other inpatient hospital services, reflecting the level of care actually received, in a manner consistent with section 1861(v)(1)(G) of the Act.

Inappropriate level of care days are not covered.

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TN No.

Supersedes Approval Date Effective Date

TN No.

HCFA ID: 7982E