Minnesota Administrative Rules

9510.2010 DEFINITIONS.

Subpart 1.

Scope.

As used in parts 9510.2000 to 9510.2050, the following terms have the meanings given them in this part.

Subp. 2.

Appeal.

"Appeal" means a written request made to the commissioner by a nursing home, Minnesota hospital, or HMO for a contested case hearing under Minnesota Statutes, chapter 14, regarding the amount of the medical care surcharge.

Subp. 3.

Closed or closing.

"Closed" or "closing" means the facility has suspended the practice of providing inpatient hospital services, has suspended the practice of providing outpatient services, has suspended operation as a nursing home, or is in the process of suspending services under a plan of closure approved by the department.

Subp. 4.

Commissioner.

"Commissioner" means the commissioner of the Department of Human Services or the commissioner's designated representative.

Subp. 5.

Department.

"Department" means the Minnesota Department of Human Services.

Subp. 6.

Federal Indian Health Service facility.

"Federal Indian Health Service facility" means a facility of the Indian Health Service, including a hospital, nursing facility, or other type of facility that provides services or a type of service otherwise covered under the state's medical assistance program, whether operated by the federal Indian Health Service or by an Indian tribe or tribal organization.

Subp. 7.

Health maintenance organization or HMO.

"Health maintenance organization" or "HMO" means a health maintenance organization licensed and operating under Minnesota Statutes, chapter 62D.

Subp. 8.

Hospital.

"Hospital" has the meaning given in part 9505.0175, subpart 16, but does not include federal Indian Health Service facilities and regional treatment centers.

Subp. 9.

Medical care surcharge.

"Medical care surcharge" means the amount of tax to be paid by a nursing home, Minnesota hospital, or HMO under Minnesota Statutes, section 256.9657.

Subp. 10.

Minnesota hospital.

"Minnesota hospital" means a hospital located in Minnesota.

Subp. 11.

Nursing home.

"Nursing home" means a facility as defined in Minnesota Statutes, section 144A.01, subdivision 5, and licensed under Minnesota Statutes, chapter 144A.

Subp. 12.

Regional treatment center.

"Regional treatment center" means a "state facility" as defined in Minnesota Statutes, section 246.50, subdivision 3.

Subp. 13.

Settle-up.

"Settle-up" means to reduce an amount subsequently owed or to make a payment after resolution of an appeal under part 9510.2040 between a nursing home, Minnesota hospital, or HMO and the department in order to settle the difference between the medical care surcharge paid and the medical care surcharge owed.

Statutory Authority:

MS s 256.9657; 256B.74

History:

17 SR 2860

Published Electronically:

October 8, 2007