55 Pa. Code § 1163.32 - Hospital units excluded from the DRG prospective payment system

(a) Payment for inpatient hospital services provided to a recipient admitted to a psychiatric unit of a general hospital as specified in this section, a drug and alcohol rehabilitation unit of a general hospital as specified in this section, or a medical rehabilitation unit of a general hospital as specified in this section, is made under Subchapter B (relating to hospitals and hospital units under cost reimbursement principles).

(b) To be excluded from the prospective payment system, the psychiatric unit, the drug and alcohol rehabilitation unit, or the medical rehabilitation unit of a general hospital shall meet the participation requirements set forth in Subchapter B.

(c) Effective April 1, 1987, payment for hospital services performed in a short procedure unit is made under Chapter 1126 (relating to ambulatory surgical center services and hospital short procedure unit services).

Notes

55 Pa. Code § 1163.32

The provisions of this § 1163.32 adopted June 22, 1984, effective 7/1/1984, 14 Pa.B. 2185; amended June 16, 1989, effective immediately and applies retroactively to July 1, 1988, 19 Pa.B. 2563; amended June 1, 1990, effective retroactively to April 1, 1987, 20 Pa.B. 2913.

The provisions of this § 1163.32 amended under section 443.1(1) of the Public Welfare Code (62 P. S. § 443.1(1)).

This section cited in 55 Pa. Code § 1163.51 (relating to general payment policy).