Common use of Hospital Assessment Fee Clause in Contracts

Hospital Assessment Fee. Hospital Assessment Fee (HAF) payments will be integrated into capitation rates. Contractors are required to pay HAF hospitals at the enhanced Medicaid rates for HAF eligible services detailed below:  HAF eligible hospitals  Contracted providers: MCEs shall pay 100% of the enhanced (HAF) rates, which is 100% of the fee schedule rate multiplied by the HAF factor OR 100% of the Inpatient APR DRG rate multiplied by the HAF factor.  Non-contracted providers: MCEs shall pay 98% of the enhanced (HAF) rates, which is 98% of the fee schedule rate multiplied by the HAF factor OR 98% of the Inpatient APR DRG rate multiplied by the HAF factor.  Non-HAF eligible hospitals  Contracted providers: MCEs shall pay the amount negotiated with the contracted provider o 100% of the Medicaid APR DRG rates for Inpatient and 100% of the Medicaid OP Fee Schedule.  Non-contracted providers: MCEs shall pay the following: o 98% of the Medicaid APR DRG rates for Inpatient and 98% of the Medicaid OP Fee Schedule.

Hospital Assessment Fee. Hospital Assessment Fee (HAF) payments will be integrated into capitation rates. Contractors are required to pay HAF hospitals at the enhanced Medicaid rates for HAF eligible services detailed below:  ▪ HAF eligible hospitals  • Contracted providers: MCEs shall pay 100% of the enhanced (HAF) rates, which is 100% of the fee schedule rate multiplied by the HAF factor OR 100% of the Inpatient APR DRG rate multiplied by the HAF factor.  • Non-contracted providers: MCEs shall pay 98% of the enhanced (HAF) rates, which is 98% of the fee schedule rate multiplied by the HAF factor OR 98% of the Inpatient APR DRG rate multiplied by the HAF factor.  ▪ Non-HAF eligible hospitals  • Contracted providers: MCEs shall pay the amount negotiated with the contracted provider o 100% of the Medicaid APR DRG rates for Inpatient and 100% of the Medicaid OP Fee Schedule.  • Non-contracted providers: MCEs shall pay the following: o 98% of the Medicaid APR DRG rates for Inpatient and 98% of the Medicaid OP Fee Schedule.

Hospital Assessment Fee. Hospital Assessment Fee (HAF) payments will be integrated into capitation rates. Contractors are required to pay HAF hospitals at the enhanced Medicaid rates for HAF eligible services detailed below:  HAF eligible hospitals  Contracted providers: MCEs shall pay 100% of the enhanced (HAF) rates, which is 100% of the fee schedule rate multiplied by the HAF factor OR 100% of the Inpatient APR DRG rate multiplied by the HAF factor.  Non-contracted providers: MCEs shall pay 98% of the enhanced (HAF) rates, which is 98% of the fee schedule rate multiplied by the HAF factor OR 98% of the Inpatient APR DRG rate multiplied by the HAF factor.  Non-HAF eligible hospitals  Contracted providers: MCEs shall pay the amount negotiated with the contracted provider o 100% of the Medicaid APR DRG rates for Inpatient and 100% of the Medicaid OP Fee Schedule.  Non-contracted providers: MCEs shall pay the following: o 98% of the Medicaid APR DRG rates for Inpatient and 98% of the Medicaid OP Fee Schedule.: