- (1) Determination of encounter rates effective January 1, 2001 as directed by the Balanced Budget Act (BBA) of 1997 and the Budget Refinement Act of 1999 Prospective Payment System (PPS) was changed for Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC) clinics. PPS eliminates annual cost reports and retrospective settlements except for managed care organization (MCO) Supplemental Payments.
- (2) As directed by the BBA and PPS, the federal government will notify states when clinics can re-base clinic rates. No specific date has been determined by the federal government at this time.
Statutory/Other Authority
ORS 413.042 & 414.065, 42 USC 1396a(bb) & CFR Title 42 Public Health
Statutes/Other Implemented
ORS 414.065
History
OMAP 71-2003, f. 9-15-03, cert. ef. 10-1-03
OMAP 63-2002, f. & cert. ef. 10-1-02