Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part V - Hospital Services › Subpart 3 - Disproportionate Share Hospital Payments › Chapter 27 - Qualifying Hospitals › Section V-2705 - Small-Rural Hospitals

Current through Register Vol. 50, No. 6, June 20, 2024
A. Definitions
Net Uncompensated Cost
-the cost of
					 furnishing inpatient and outpatient hospital services, net of Medicare costs,
					 Medicaid payments (excluding disproportionate share payments), costs associated
					 with patients who have insurance for services provided, private payer payments,
					 and all other inpatient and outpatient payments received from patients. Any
					 uncompensated costs of providing health care services in a rural health clinic
					 licensed as part of a small rural hospital as defined below shall be considered
					 outpatient hospital services in the calculation of uncompensated costs.
Small Rural Hospital
- a hospital
					 (excluding a long-term care hospital, rehabilitation hospital, or freestanding
					 psychiatric hospital but including distinct part psychiatric units) that meets
					 the following criteria:
a. had no more
				  than 60 hospital beds as of July 1, 1994 and is located in a parish with a
				  population of less than 50,000 or in a municipality with a population of less
				  than 20,000; or
b. meets the
				  qualifications of a sole community hospital under
				  42 CFR §
												412.92 (a), or:
i. met the qualifications of a sole community
				  hospital as of June 30, 2005 and subsequently converts to critical access
				  hospital status; or
c.
				  had no more than 60 hospital beds as of July 1, 1999 and is located in a parish
				  with a population of less than 17,000 as measured by the 1990 census;
				  or
d. had no more than 60 hospital
				  beds as of July 1, 1997 and is a publicly-owned and operated hospital that is
				  located in either a parish with a population of less than 50,000 or a
				  municipality with a population of less than 20,000; or
e. had no more than 60 hospital beds as of
				  June 30, 2000 and is located in a municipality with a population, as measured
				  by the 1990 census, of less than 20,000; or
f. had no more than 60 beds as of July 1,
				  1997 and is located in a parish with a population, as measured by the 1990 and
				  2000 census, of less than 50,000; or
g. was a hospital facility licensed by the
				  department that had no more than 60 hospital beds as of July 1, 1994, which
				  hospital facility:
i. has been in continuous
				  operation since July 1, 1994;
ii.
				  is currently operating under a license issued by the department; and
iii. is located in a parish with a
				  population, as measured by the 1990 census, of less than 50,000; or
h. has no more than 60 hospital
				  beds or has notified the department as of March 7, 2002 of its intent to reduce
				  its number of hospital beds to no more than 60, and is located in a
				  municipality with a population of less than 13,000 and in a parish with a
				  population of less than 32,000 as measured by the 2000 census; or
i. has no more than 60 hospital beds or has
				  notified DHH as of December 31, 2003 of its intent to reduce its number of
				  hospital beds to no more than 60 and is located:
i. as measured by the 2000 census, in a
				  municipality with a population of less than 7,000;
ii. as measured by the 2000 census, in a
				  parish with a population of less than 53,000; and
iii. within 10 miles of a United States
				  military base; or
j. has
				  no more than 60 hospital beds as of September 26, 2002 and is located:
i. as measured by the 2000 census, in a
				  municipality with a population of less than 10,000; and
ii. as measured by the 2000 census, in a
				  parish with a population of less than 33,000; or
k. has no more than 60 hospital beds as of
				  January 1, 2003 and is located:
i. as
				  measured by the 2000 census, in a municipality with a population of less than
				  11,000; and
ii. as measured by the
				  2000 census, in a parish with a population of less than 90,000; or
l. has no more than 40 hospital
				  beds as of January 1, 2005, and is located:
i. in a municipality with a population of
				  less than 3,100; and
ii. in a
				  parish with a population of less than 15,800 as measured by the 2000 census;
				  or
m. has no more than
				  60 hospital beds as of November 1, 2013 and is located:
i. as measured by the 2000 census, in a
				  municipality with a population of less than 33,000;
ii. as measured by the 2000 census, in a
				  parish with a population of less than 68,000; and
iii. within 3 miles of Jackson Barracks.