medicaid established a second category of non-payment policies for provider preventable conditions (ppc), applicable to any health care setting:


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medicaid established a second category of non-payment policies for provider preventable conditions (ppc), applicable to any health care setting:

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Provider Manual – Alabama Medicaid – Alabama.gov

Jul 16, 2016 … care. The policy provisions for hospitals can be found in the … Code, and the
Alabama Medicaid Provider Manual. … types are identified on the “Hospital/CAH
Medicare Database … second location must undergo a full Medicare survey. ……
Non-payment of provider preventable conditions shall not prevent …

Update on State Government Tracking of Health Care-Acquired …

Jun 1, 2012 … Policy and the Role of States in Tracking and Reporting Health Care- ….. CMS
identified 10 categories of HACs as being preventable under accepted ….
preventable conditions, apply more to State Medicaid nonpayment ….. Category 2
– Other Provider Preventable Conditions (for Any Health Care Setting).

CMS Report to Congress – CMS Innovation Center

Feasibility of Extending the HAC Payment Provision to Other Types of Facilities .
…. Hospital Acquired Condition (HAC) policy under section 1886(d)(4)(D) of the
Act to … Medicaid Services (CMS), and presents the Secretary's
recommendations. … occur as the result of care in healthcare settings other than
hospitals paid …..

Inpatient Hospital Rates Rebasing Report – Minnesota.gov

hospital rates in the Minnesota Health Care Programs (MHCP) for the first time …
admissions for rate setting, multiple types of admissions were grouped …
Medicare and Medicaid Services (CMS) will require all providers and payers,
including each …. Relative Weight multiplied by the value of any applicable
Policy Adjustor.

MassHealth Transmittal Letter ALL-195 June 2012 TO: All Providers …

MassHealth Billing Instructions for Provider Preventable Conditions (PPCs);
Serious. Reportable … Medicaid Services (CMS) in federal regulations at 42
C.F.R. 447.26(b). (3) Health Care … following conditions that occur in any health-
care setting. … instructions are broken down by applicable providers and PPC
categories.

Methods and Standards for Establishing Payment Rates – Ohio …

For hospital services subject to non-DRG prospective payment, providers are
paid by applying a … reimbursement policy applies to all inpatient discharges
and outpatient ….. from hospitals with no Level II or III nursery, a second for cases
…. The State identifies the following Health Care-Acquired Conditions (HCACs)
for non …

notice of final rulemaking – ahcccs

categories based on similar clinical conditions and on similar levels of …
measurement of potentially preventable readmissions and complications, … In
adapting the APR-DRG system to the Arizona health care environment, the.
Administration, in collaboration with a hospital work group, established ….. non-
payment policy.

Final Recommendation for Modifying the Maryland Hospital …

Jan 13, 2016 … Health Services Cost Review Commission. MHAC. Maryland hospital-acquired
condition. PPC. Potentially preventable complication. PSI.

e hhss med services 402 4719092 – Nebraska Department of Health …

setting methodology for hospital inpatient services for the Nebraska Medical … 10
-010.03A Definitions: The following definitions apply to payment for … utilization
rate for hospitals receiving Medicaid payments in Nebraska; or. 2. …… services
related to Provider Preventable Conditions (PPC) which includes Health Care-.

Methods and Standards for Establishing Payment Rates

STATE PLAN FOR MEDICAID PROVIDER REIMBURSEMENT. INPATIENT …
Rate setting principles and methods are contained in Alaska Statutes 47.07.070 –
… Acute Care Hospital – means a facility that provides inpatient hospitalization for
… return on investment is not an allowable cost for any facility. …… The second.



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