Authority: IC 12-15-1-10; IC 12-15-21-2; IC 12-15-44.5-9; IC 16-21-10-16

Affected: IC 16-21-10

Sec. 10. (a) After the end of each fiscal year, the fee amounts calculated under sections 5 through 9 of this rule, which are based on the projected Medicaid costs are adjusted based on actual costs incurred during the fiscal year to come up with the final hospital assessment fee (HAF) amounts for each hospital. If actual costs are higher than the projected amounts, an additional fee will be assessed to hospitals for the state share of the cost over the projections. If actual costs are less than the projected amounts, a refund will be issued to the hospitals based on the state share of the difference between the forecasts and actual costs incurred during the fiscal year.

(b) Final adjustments to HAFs are made after claims runoff for the fiscal year, which is typically six (6) months after the end of the fiscal year.

(c) Once actual costs for the fiscal year end are determined under subsection (a), additional HAF fees or refunds are allocated to a hospital based on the hospital's inpatient and outpatient equivalent days during the fiscal year end under sections 8 and 9 of this rule. A refund will be issued to the hospital within thirty (30) calendar days, and an additional HAF fee shall be paid under 405 IAC 1-8-5(h) for outpatient HAF, and 405 IAC 1-10.5-7(i) for inpatient HAF, as applicable.

(Office of the Secretary of Family and Social Services; 405 IAC 1-22-10; filed May 16, 2025, 11:09 a.m.: 20250611-IR-405240493FRA)