Medicaid program; modification of the Medicaid upper payment limit transition period for inpatient hospital services, outpatient hospital services, nursing facility services, intermediate care facility services for the mentally retarded, and clinic services. Final rule.
This final rule modifies the Medicaid upper payment (UPL) limit provisions by establishing a new transition period for States that submitted plan amendments before March 13, 2001 that do not comply with the new UPLs effective on that date (but do comply with the prior UPLs) and were approved on or after January 22, 2001. This new transition period applies to payments for inpatient hospital services, outpatient hospital services, nursing facility services, intermediate care facility services for the mentally retarded, and clinic services.
D000553:Ambulatory Care / Q000191:economics; D014487:Centers for Medicare and Medicaid Services, U.S.; D006760:Hospitalization / Q000191:economics; D006801:Humans; D008484:Medicaid / Q000191:economics / Q000331:legislation & jurisprudence*; D008605:Mental Health Services / Q000191:economics; D009735:Nursing Homes / Q000191:economics; D011445:Prospective Payment System / Q000191:economics / Q000331:legislation & jurisprudence*; D012051:Reimbursement Mechanisms; D013219:State Government; D014481:United States