4807 CALCULATION OF ADD-ON PAYMENTS

4807.1 The final base payment rate calculated pursuant to section 4801 shall be supplemented by additional payments for capital costs and graduate medical education, as appropriate.

4807.2 The capital cost add-on payment shall be calculated by dividing Medicaid capital costs applicable to hospital inpatient routine services costs, as reported on cost report Form HCFA 2552-92, Worksheet D, Part I, Line 101, Columns 4 and 6 and capital costs applicable to hospital inpatient ancillary services, as determined pursuant to subsection 4807.3, by the number of Medicaid discharges in the base year.

4807.3 Capital costs applicable to hospital inpatient ancillary services, as reported on Worksheet D, Part II, Column 2 shall be allocated to inpatient capital by applying the facility ratio of ancillary inpatient charges to total ancillary charges for each ancillary line on the cost report.

4807.4 Graduate medical education add-on shall be calculated by dividing the Medicaid graduate medical education costs by the number of Medicaid discharges in the base year.

4807.5 If after an audit of the hospital's cost report for the base year period an adjustment is made to the hospital's reported costs which results in an increase or decrease of five percent (5%) or greater of the capital cost or graduate medical education add-on payment, the add-on payment for capital or graduate medical education add-on costs shall be adjusted.

SOURCE: Final Rulemaking published at 45 DCR 4141, 4148 (June 26, 1998); as amended by Notice of Emergency and Proposed Rulemaking published at 57 DCR 2691 (March 26, 2010)[EXPIRED]; as amended by Notice of Emergency and Proposed Rulemaking published at 57 DCR 6837 (July 10, 2010)[EXPIRED]; as amended by Notice of Final Rulemaking published at 58 DCR 4323, 4328 (May 20, 2011).