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(a) To calculate adjustment factors for facility fiscal years, the department will use the most recent quarterly publication of Global Insight's Health Care Cost Review available 60 days before the beginning of a facility's fiscal year, as follows:
(1) for acute care, specialty, and psychiatric hospitals' non-capital allowable costs, the department will utilize the Global Insight Hospital Market Basket.
(2) for acute care, speciality, and psychiatric hospitals' allowable capital costs and allowable home office capital costs will be adjusted using Global Insight Health Care Costs, Building Cost Index, CMS New 1997-based PPS Hospital Capital IPI;
(3) for long-term care facilities' non-capital allowable costs, the department will utilize the CMS Nursing Home without Capital Market Basket;
(4) long-term care facilities' allowable capital costs, and allowable home office capital costs will be adjusted using the Skilled Nursing Facility Total Market Basket Capital Cost component.
(b) For facility fiscal years beginning after December 31, 2000 and on each July 1 thereafter, the department will use the most recent quarterly publication available 60 days before July 1 of Global Insight's Health Care Cost Review, Hospital Market Basket for yearly adjustment factors applied to outpatient surgical clinics.
(c) If the facility's year-end report is submitted timely under 7 AAC 43.679, the adjustment factors calculated under (a) of this section will be effective for the prospective payment rates at the beginning of the facility's fiscal year.
(d) The adjustment factors calculated under (a) of this section will be effective 90 days after the beginning of the facility's fiscal year if the facility's year-end report is submitted not more than 30 days late under 7 AAC 43.679.
(e) The adjustment factors calculated under (a) of this section will be effective 180 days after the beginning of the facility's fiscal year if the facility's year-end report is submitted not more than 90 days late under 7 AAC 43.679.
(f) If the facility's year-end report is submitted more than 90 days late under 7 AAC 43.679, the adjustment factors calculated under (a) of this section do not apply during the facility's fiscal year.
History: Eff. 8/9/86, Register 99; am 7/4/87, Register 102; am 8/6/92, Register 123; am 12/31/94, Register 132; readopt 8/7/96, Register 139; am 12/30/2000, Register 156; am 7/11/2002, Register 163; am 12/25/2003, Register 168; am 7/1/2004, Register 170
Authority: AS 47.05.010
Editor's note: Effective 8/7/96, Register 139, the Department of Health and Social Services readopted 7 AAC 43.683 in its entirety, without change, under AS 47.07. Executive Order No. 72 transferred certain rate-setting authority to the department.
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Last modified 7/05/2006