Activity Codes Descriptions and Examples Sample Clauses

Activity Codes Descriptions and Examples. For purposes of Ohio’s MetroHealth Care Plus section 1115 demonstration, the MetroHealth System will be required to report costs associated with demonstration administrative activities on the Ohio Medicaid hospital cost report (JFS 02930), schedule M3, in accordance with the CMS- approved cost claiming protocol. MetroHealth will report administrative expenses in accordance with the regulations governing reimbursement for allowable administrative expenses as stated in 2 CFR Part 225 (OMB Circular A-87) and applicable requirements set forth in CMS 15-1 Section 2313.2(E). When MetroHealth staff perform duties related to the administration of the demonstration, federal funds may be drawn as federal financial participation (FFP) for the costs of providing these administrative services. To identify the time allocation and associated costs of providing these services, a time study, or an acceptable substitute system, must be conducted. The indicators below, which follow each Code, provide the application of the FFP rate, the allowability or non-allowability designation, and the proportional demonstration share status of the Code: Application of FFP rate 50 percent = Refers to an activity that is allowable as administration under the demonstration program and claimable at the 50 percent non-enhanced FFP rate. Unallowable Activities U = Refers to an activity that is unallowable as administration under the demonstration program. This is regardless of whether or not the population served includes demonstration eligible individuals. Application of Demonstration Share TM (Total Demonstration) = Refers to an activity that is 100 percent allowable as administration under the demonstration program. PM (Proportional Demonstration Share) = Refers to an activity which is allowable as administration under the demonstration program, but for which the allocable share of costs must be determined by the application of the proportional demonstration share (the demonstration eligibility rate), for example, the demonstration share is determined as the ratio of demonstration eligible patients to total patients for Care Coordinators. The following are descriptions and examples of the administrative activity codes that will be used to document administrative costs incurred by MetroHealth and determine the rate at which those costs are attributed to allowable and reimbursable demonstration administrative services: Code A: Demonstration Eligible Program Planning and Policy Development PM...
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