Subdivision 1. Scope.
For purposes of this section and sections
following terms and phrases have the meanings given.
Subd. 2. Base year.
"Base year" means a hospital's fiscal year that is recognized by the
Medicare program or a hospital's fiscal year specified by the commissioner if a hospital is not
required to file information by the Medicare program from which cost and statistical data are used
to establish medical assistance and general assistance medical care payment rates.
Subd. 3. Case mix index.
"Case mix index" means a hospital's distribution of relative values
among the diagnostic categories.
Subd. 4. Charges.
"Charges" means the usual and customary payment requested of the
Subd. 5. Commissioner.
"Commissioner" means the commissioner of human services.
Subd. 6. Hospital.
"Hospital" means a facility defined in section
144.696, subdivision 3
and licensed under sections
, an out-of-state facility licensed to provide acute
care under the requirements of that state in which it is located, or an Indian health service facility
designated to provide acute care by the federal government.
Subd. 7. Medical assistance.
"Medical assistance" means the program established under
chapter 256B and Title XIX of the Social Security Act. Medical assistance includes general
assistance medical care established under chapter 256D, unless otherwise specifically stated.
Subd. 8. Rate year.
"Rate year" means a calendar year from January 1 to December 31.
Subd. 9. Relative value.
"Relative value" means the average allowable cost of inpatient
services provided within a diagnostic category divided by the average allowable cost of inpatient
services provided in all diagnostic categories.
History: 1989 c 282 art 3 s 37; 1991 c 292 art 4 s 23,24; 1993 c 339 s 10