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NURS 773- Rural Health Systems
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NURS 773- Rural Health Systems
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------=_NextPart_01C5E3B8.ADE375E0 Content-Location: file:///C:/E9436313/NURS773_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C5E3B8.ADE375E0 Content-Location: file:///C:/E9436313/NURS773_files/slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Medicaid Modernization Act & Rural Health Policy
NURS 773- Rural Health Systems
Medicare Modernization Act and R= ural Health Policy
Emily Costich, MSPH
US Department of Health and Human Services
He= alth Resources and Services Administration
Office of Rural Health Policy
&= #13;
November 9, 20= 05
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NURS 773- Rural Health Systems
Focus of this Presentation
<= span class=3DBB style=3D'position:absolute;left:-4.55%;top:.39em'>nMedic= are Modernization Act (MMA)
<= span class=3DBB style=3D'position:absolute;left:-4.86%;top:.39em'>nPolicy Updates
<= span class=3DBB style=3D'position:absolute;left:-4.86%;top:.39em'>nAbout HRSA
<= span class=3DBB style=3D'position:absolute;left:-4.12%;top:.39em'>nAbout= the Office of Rural Health Policy
<= span class=3DBB style=3D'position:absolute;left:-4.86%;top:.39em'>nRural Resources
<= span style=3D'visibility:hidden'>n
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NURS 773- Rural Health Systems
MMA
<= span style=3D'font-size:88%'>nCritical Access Ho= spital Provisions
<= span style=3D'font-size:88%'>nHospital Provision= s
<= span style=3D'font-size:88%'>nPhysician Payments=
<= span style=3D'font-size:88%'>nDemonstration/Grant Programs
<= span style=3D'font-size:88%'>nPrescription Drug Benefit
<= span style=3D'font-size:88%'>nMedicare Advantage (MA)
<= span style=3D'font-size:88%'>nOther Provisions&#= 13;
<= span style=3D'font-size:88%'>n340b Drug Discount Program
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NURS 773- Rural Health Systems
MMA- CAH Provisions
nReimbursement Based on 101% of Cost
nReinstatement of Periodic Interim Payments
nFlexibility in Method II Election
nBed Size- up to 25 Acute Care Beds
nCost-based reimbursement for on-call mid-levels
nPsychiatric/Rehabilitation Units of up to 10 beds each
nElimination of State Waiver Authority of 35-mile rule after 1/1/2006
n
n<= span style=3D'font-size:88%;mso-special-format:lastCR;display:none'>
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NURS 773- Rural Health Systems
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NURS 773- Rural Health Systems
Hospital Provisions
nInpatient Hospital Payments
&= #8211;Standardization of Base Rate
= 211;Reduction in Labor Share for hospitals in areas with wage index <1
= 211;Disproportionate Share Hospital Payments- Cap Raised to 12%
&= #8211;Low Volume Adjustment- <200 discharges
n
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------=_NextPart_01C5E3B8.ADE375E0 Content-Location: file:///C:/E9436313/NURS773_files/slide0062.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Medicaid Modernization Act & Rural Health Policy
NURS 773- Rural Health Systems
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