Skip to Page Content
Delaware.gov  |  Text OnlyGovernor | General Assembly | Courts | Elected Officials | State Agencies
 Photo: Featured Delaware Photo
 
 
 Phone Numbers Mobile Help Size Print Email

Delaware General AssemblyDelaware RegulationsMonthly Register of RegulationsApril 2015

Table of Contents Previous Next

Authenticated PDF Version

Delaware Health and Social Services (“Department”) / Division of Medicaid and Medical Assistance (DMMA) initiated proceedings to amend the Delaware Title XIX Medicaid State Plan regarding Inpatient Hospital Services, specifically, Freestanding Inpatient Rehabilitation Hospital Services. The Department’s proceedings to amend its regulations were initiated pursuant to 29 Delaware Code Section 10114 and its authority as prescribed by 31 Delaware Code Section 512.
The Department published its notice of proposed regulation changes pursuant to 29 Delaware Code Section 10115 in the January 2015 Delaware Register of Regulations, requiring written materials and suggestions from the public concerning the proposed regulations to be produced by January 31, 2015 at which time the Department would receive information, factual evidence and public comment to the said proposed changes to the regulations.
Section 1886(j) of the Social Security Act, Prospective Payment for Inpatient Rehabilitation Services
42 CFR §412.604, Conditions for payment under the prospective payment system for inpatient rehabilitation facilities
42 CFR §440.10, Inpatient hospital services, other than services in an institution for mental diseases
42 CFR §447, Subpart C - Payment for Inpatient Hospital and Long-Term Care Facility Services
42 CFR §447.205, Public notice of changes in statewide methods and standards for setting payment rates
In accordance with the federal public notice requirements established at Section 1902(a)(13)(A) of the Social Security Act and 42 CFR 447.205, Delaware Health and Social Services (DHSS)/Division of Medicaid and Medical Assistance (DMMA) published notice of proposed amendment to the methods and standards governing reimbursement methodology for freestanding inpatient rehabilitation hospitals participating in the Delaware Medical Assistance Program (DMAP) before the proposed effective date of December 1, 2014 on November 15, 2014 in The News Journal and on November 17, 2014 in the Delaware State News.
To satisfy state public notice requirements established at Title 29, Chapter 101 of the Delaware Code, notice appeared in the January 1, 2015 issue of the Delaware Register of Regulations.
The Councils endorse the proposed standards. We would like to note however that covered facilities may benefit from using a similar reimbursement system for both Medicaid and Medicare patients.
Agency Response: DMMA thanks both councils for the endorsement. Regarding a similar reimbursement system for both Medicaid and Medicare patients, DMMA will take this recommendation into consideration once we have had some experience with this facility.
THEREFORE, IT IS ORDERED, that the proposed regulation to amend Delaware Title XIX Medicaid State Plan regarding Inpatient Hospital Services, specifically, Freestanding Inpatient Rehabilitation Hospital Services, is adopted and shall be final effective April 10, 2015.
Last Updated: December 31 1969 19:00:00.
site map   |   about this site   |    contact us   |    translate   |    delaware.gov