Section 15-114 - Reimbursement - Related institutions. - Maryland Statutes

§ 15-114. Reimbursement - Related institutions.
 

(a)  "Related institution" defined.- In this section, "related institution" includes any of the following facilities, as classified from time to time by law, rule, or regulation: 

(1) A comprehensive care facility; 

(2) An extended care facility; 

(3) An intermediate care facility; and 

(4) A skilled nursing facility. 

(b)  Scope of section.- This section applies only to the extent that federal funds are available for reimbursement under this section. 

(c)  Reimbursement required.- In accordance with subsection (e) of this section, the Department shall reimburse each hospital-based related institution that: 

(1) Is a distinct part of an acute or chronic hospital; and 

(2) On and after July 1, 1980, is licensed as a related institution. 

(d)  Rates.-  

(1) The Health Services Cost Review Commission shall determine rates for fiscal years 1986, 1987, 1988, and 1989 for purposes of the reimbursement formula established under subsection (e) of this section and shall inform the Department of the reimbursement rates prior to the beginning of the respective fiscal year. 

(2) The rates determined by the Health Services Cost Review Commission under this section shall be the rates that would have been in effect during the respective fiscal year if the hospital-based related institution had remained under the full rate jurisdiction of the Health Services Cost Review Commission. 

(e)  Formula for reimbursement.- The reimbursement required by this section shall be in accordance with the following formula: 

(1) For the period from July 1, 1985 through June 30, 1986, a per diem rate calculated as the sum of: 

(i) 80% of the rate determined by the Health Services Cost Review Commission under subsection (d) of this section; and 

(ii) 20% of the per diem rate of the hospital-based related institution determined under the Program regulations applicable to skilled and intermediate care nursing facilities. 

(2) For the period from July 1, 1986 through June 30, 1987, a per diem rate calculated as the sum of: 

(i) 60% of the rate determined by the Health Services Cost Review Commission under subsection (d) of this section; and 

(ii) 40% of the per diem rate of the hospital-based related institution determined under the Program regulations applicable to skilled and intermediate care nursing facilities. 

(3) For the period from July 1, 1987 through June 30, 1988, a per diem rate calculated as the sum of: 

(i) 40% of the rate determined by the Health Services Cost Review Commission under subsection (d) of this section; and 

(ii) 60% of the per diem rate of the hospital-based related institution determined under the Program regulations applicable to skilled and intermediate care nursing facilities. 

(4) For the period from July 1, 1988 through June 30, 1989, a per diem rate calculated as the sum of: 

(i) 20% of the rate determined by the Health Services Cost Review Commission under subsection (d) of this section; and 

(ii) 80% of the per diem rate of the hospital-based related institution determined under the Program regulations applicable to skilled and intermediate care nursing facilities. 

(5) Beginning July 1, 1989, the Department shall reimburse at rates determined under the Program regulations applicable to skilled and intermediate care nursing facilities. 
 

[An. Code 1957, art. 43, § 42Q; 1982, ch. 21, § 2; ch. 713; 1985, ch. 418; 2005, ch. 25, § 1.]