New York Codes Rules Regulations (Last Updated: March 27,2024) |
TITLE 10. Department of Health |
Chapter II. Administrative Rules and Regulations |
Subchapter L. Hospitals and Related Facilities |
Part 86. Reporting and Rate Certifications for Facilities |
Subpart 86-5. Long-Term Home Health Care Programs |
Sec. 86-5.15. Rates for LTHHCP without adequate cost experience
Latest version.
- (a) This subdivision shall apply where the fiscal and statistical data of the facility are unavailable through no fault of the provider or its agents, and due to circumstances beyond its control, or where there is a new facility without adequate cost experience as set forth in section 86-5.2 of this Subpart.(b) The rates certified for such LTHHCP's as set forth in subdivision (a) of this section shall be determined on the basis of generally applicable factors, including but not limited to the following:(1) cost guidelines as defined in section 86-5.12 of this Subpart and(2) allowable costs as defined in section 86-5.17 of this Subpart.(c) All rates of reimbursement certified pursuant to this section will be subject to audit pursuant to section 86-5.7 of this Subpart.