Medicaid program; modification of the Medicaid upper payment limit for non-state government-owned or operated hospitals. Final rule.
This final rule modifies the Medicaid upper payment limit (UPL) provisions to remove the 150 percent UPL for inpatient hospital services and outpatient hospital services furnished by non-State government-owned or operated hospitals. This final rule is part of this Administration's efforts to restore fiscal integrity to the Medicaid program and reduce the opportunity for abusive funding practices based on payments unrelated to actual covered Medicaid services.
D006779:Hospitals, Public / Q000191:economics*; D006801:Humans; D008484:Medicaid / Q000191:economics*; D011907:Rate Setting and Review; D012051:Reimbursement Mechanisms / Q000191:economics*; D013219:State Government; D014481:United States