Haw. Code R. § 17-1739.2-7 - Data sources for rate calculation

(a) The department shall select the base year. The base year selected shall be the most recent state fiscal year for which cost reports for the significant majority of providers are available. The department shall select the most recent year for which cost reports for the significant majority of providers are available but are not finally settled (i.e., the "as filed" cost reports). The department shall identify and apply an audit adjustment factor to the "as filed" cost reports.

(b) Cost and census day data to be used in the development of the basic PPS rates shall be abstracted from the uniform cost report that is submitted to the Medicaid agency by each provider. If the department determines that additional data is required, then additional cost and census data shall be solicited from the provider.

Notes

Haw. Code R. § 17-1739.2-7

[Eff 09/01/03] (Auth: HRS § 346-59; 42 U.S.C. §1396 a) (Imp: 42 C.F.R. §447.252)