Chapter 368c. Commission on Hospitals and Health Care
Section
19a-14519a-14519a-146 and 19a-147(Formerly Secs. 19-73c and 19-73e). Commission on Hospitals and Health Care: Establishment. Officers; compensation; meetings.19a-148(Formerly Sec. 19-73f). Staff. Commission to be within the Department of Public Health and Addiction Services.19a-148a to 19a-15519a-148a to 19a-15519a-155a19a-155a19a-15619a-15619a-157Exemptions from budget review procedure. Limitation.19a-158 to 19a-16219a-158 to 19a-16219a-163Health Care Payer Advisory Board.19a-164 to 19a-165vTask force to study the development of a prospective payment system and other health issues. Professional advisory committee. Definitions. Data necessary for the development and implementation of the prospective payment system; submission. Determination of rate orders; contents. Rate orders for the rate year commencing in 1987 and for subsequent rate years; establishing a standard fixed charge per case; inpatients; interim and final compliance; special arrangements. Gross inpatient service revenue for the fiscal year commencing in 1986 and for subsequent fiscal years. Estimates on volume and revenue, submission; adjustments. Establishing per diem charges for exempt cases; adjustments; outliers; billing form; reimbursement by Department of Income Maintenance. Discounts for medical assistance and Medicare payers. Uncompensated care. Gross outpatient service revenue; short hospital stays; transfer system. Alternative delivery systems. Review of hospital admissions; appeals of appropriateness of the diagnostic related group assigned to a discharge; fee. Federal waivers for Medicare and medical assistance payer participation. Adjustment of allowable revenues for the fiscal years commencing in 1985 and 1986. Application alleging financial integrity in jeopardy; hearing, determination, remedy; projects requiring approval by commission; adjustments. Hospitals not previously subject to the prospective payment system; new hospitals. Experiments and demonstration projects. Regulations for the prospective payment system. Issuance of rate orders for the fiscal year commencing in 1987. Conformance with rate order; decision; reconsideration; hearing. Prospective payment system account. Self-pay patients; appeals. Emergency regulations.19a-16619a-16619a-166aReport on the effectiveness of the regulation of hospital charges under the prospective payment system.19a-166b19a-166b19a-167 to 19a-167dDefinitions. Compensation of net and gross revenue caps for: Fiscal year commencing October 1, 1989; Fiscal year commencing October 1, 1991, and for subsequent fiscal years. Partial and detailed budget review. Adjustment of revenue caps.19a-167e to 19a-167o19a-167e to 19a-167o19a-168 and 19a-168aUncompensated care pool. Definitions.19a-168bUncompensated care pool; administration, assessment.19a-168cOversight board.19a-168d to 19a-168fRevenue cap adjustments for fiscal years commencing October 1, 1991, until April 1, 1994: For hospitals exempt from budget review; for partial budget review; for detailed budget review.19a-168g19a-168g19a-168hAdjustments in accordance with budget authorizations.19a-168i and 19a-168j19a-168i and 19a-168j19a-168kResearch, demonstration and pilot programs. Authorizations.19a-168l to 19a-168oTermination of the uncompensated care pool in the event of: Lack of federal matching funds; exemption of a class of payers. Exemption of payer prior to termination of the uncompensated care pool. Health care initiative recommendations.19a-168p19a-168p19a-168q and 19a-168rAppropriation. Reports to the appropriations committee.19a-168s to 19a-169c19a-168s to 19a-169c19a-169dLow income-uninsured account.19a-169e19a-169e19a-17019a-17019a-170a to 19a-170g19a-170a to 19a-170g19a-171 to 19a-17419a-171 to 19a-174