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37.86.2940    HOSPITAL REIMBURSEMENT ADJUSTOR (HRA), DATA SOURCES

(1) A hospital reimbursement adjustor (HRA) payment will be made to an eligible Montana hospital licensed pursuant to Title 50, chapter 5, MCA, as either a hospital or a critical access hospital, that provides inpatient hospital services.

(2) Data sources for the department to determine which hospitals meet the criteria to receive an HRA payment, and the amount of the payment, may include, but are not limited to:

(a) the Montana Hospital Association (MHA) database;

(b) the Medicaid paid claims database;

(c) filed or settled cost reports; and

(d) reports from the Licensing Bureau of the Quality Assurance Division.

(3) Eligibility evaluations, payment amount calculations, and payments will be made annually.

(4) The Montana State Hospital is not eligible for HRA.

History: 2-4-201, 53-2-201, 53-6-113, MCA; IMP, 2-4-201, 53-2-201, 53-6-101, 53-6-111, 53-6-113, 53-6-149, MCA; NEW, 2004 MAR p. 482, Eff. 2/27/04.

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