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Minnesota Legislature

Office of the Revisor of Statutes

256.9686 DEFINITIONS.

Subdivision 1.Scope.

For purposes of this section and sections 256.969 and 256.9695, the following terms and phrases have the meanings given.

Subd. 2.Base year.

"Base year" means a hospital's fiscal year or years 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 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 general public.

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 144.50 to 144.58, 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.