Regulated Maryland Hospital definition

Regulated Maryland Hospital means a hospital located in Maryland for which payments are regulated by the State for all payers including Medicare and that is listed in Appendix A of the State Agreement, as updated from time to time.
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Regulated Maryland Hospital means a hospital located in Maryland for which payments are regulated by the State for all payers, including Medicare. A list of Regulated Maryland Hospitals appears in Appendix A of the Agreement, as updated from time to time.
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Regulated Maryland Hospital means a hospital located in Maryland that has executed a GBR Agreement with the State regarding its reimbursement for hospital services.
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Examples of Regulated Maryland Hospital in a sentence

  • The Hospital is eligible to participate in the CRP only if it is a Regulated Maryland Hospital.

  • A proposed methodology to calculate the TCOC Baseline for each Regulated Maryland Hospital, based on the Attributed Medicare Costs for the Medicare FFS Beneficiaries attributed to the Regulated Maryland Hospital for the baseline period using the Medicare Beneficiary Attribution Algorithm proposed by the State in accordance with Section 8.c.i.1.

  • By May 31 of each Model Year, beginning in MY2, the State shall calculate the MPA for each Regulated Maryland Hospital for the prior Model Year in accordance with the CMS-approved MPA Proposal and shall inform CMS of each such calculated MPA.

  • Step 3: Calculate the Quality Adjustment Score for the Regulated Maryland Hospital using the CMS-approved Quality Adjustment Score methodology.

  • A proposed algorithm for attributing Medicare FFS Beneficiaries to Regulated Maryland Hospitals for the purpose of calculating the MPA for each Regulated Maryland Hospital (“ Medicare Beneficiary Attribution Algorithm”).

  • Prior to the start of MY1 (January 1, 2019), the State shall provide a percentage difference between the rate established by the HSCRC for a Regulated Maryland Hospital for a given charge and the lesser rate to be paid by public payers (Medicare, Medicaid, and CHIP) to a Regulated Maryland Hospital for the same charge (“Public Payer Differential”).

  • B” is (1 + Quality Adjustment Score) when “A” is greater than or equal to zero, and is (1 – Quality Adjustment Score) when “A” is less than zero.Step 5: Calculate the MPA for the Regulated Maryland Hospital by applying adjustments for efficiency or other measures to the result of Step 4 according to the CMS-approved methodology.The MPA may exceed the Maximum Revenue at Risk.2. Application of the MPA.

  • The HSCRC shall not permit any hospital to implement a CRP Track unless the hospital is a Regulated Maryland Hospital that is a party to a CRP Participation Agreement that is in effect.

  • A proposal for the maximum share of Medicare FFS payments made to each Regulated Maryland Hospital that can be lost or gained as a result of the application of the MPA (“ Maximum Revenue at Risk”).

  • During the Rate Year that begins immediately following the Model Year for which the MPA is calculated by the State in accordance with Section 8.c.iii.1, CMS will adjust each Medicare FFS payment to a Regulated Maryland Hospital by that Regulated Maryland Hospital’s MPA.

Related to Regulated Maryland Hospital

  • Public hospital means a governmental entity of a political subdivision of the state of Iowa that is authorized by legislative authority. For purposes of this subrule, a “public hospital” must also meet the requirements of Iowa Code section 249J.3. Under Iowa Code section 249J.3, a “public hospital” must be licensed pursuant to Iowa Code chapter 135B and governed pursuant to Iowa Code chapter 145A (merged hospitals), Iowa Code chapter 347 (county hospitals), Iowa Code chapter 347A (county hospitals payable from revenue), or Iowa Code chapter 392 (creation by city of a hospital or health care facility). For the purposes of this definition, “public hospital” does not include a hospital or medical care facility that is funded, operated, or administered by the Iowa department of human services, Iowa department of corrections, or board of regents, or the Iowa Veterans Home.

  • State hospital means the Arizona state hospital.

  • School District/Public Entity means the School District/Public Entity that executes the contract.

  • Rehabilitation Hospital means an Institution which mainly provides therapeutic and restorative services to Sick or Injured people. It is recognized as such if:

  • Managed health care system means: (a) Any health care

  • Empowerment Neighborhoods means neighborhoods designated by the Urban Coordinating Council “in consultation and conjunction with” the New Jersey Redevelopment Authority pursuant to N.J.S.A 55:19-69.

  • Virginia Stormwater Management Program authority or "VSMP authority" means an authority approved by the State Board after September 13, 2011, to operate a Virginia Stormwater Management Program.

  • Rural hospital means a hospital that meets both of the following:

  • Health care practitioner means an individual licensed

  • private hospital means a hospital that is not a public hospital;

  • Medical home means a team approach to providing health care that originates in a primary care setting; fosters a partnership among the patient, the personal provider, and other health care professionals, and where appropriate, the patient’s family; utilizes the partnership to access and integrate all medical and nonmedical health-related services across all elements of the health care system and the patient’s community as needed by the patient and the patient’s family to achieve maximum health potential; maintains a centralized, comprehensive record of all health-related services to promote continuity of care; and has all of the characteristics specified in section 135.158.

  • Appraisal management company means a person or entity that (i) administers a network of

  • Michigan state housing development authority means the public body corporate and politic created by Section 21 of the State Housing Development Authority Act of 1966, 1966 PA 346, MCL 125.1421.

  • Senior citizen center means a facility having the primary purpose of providing services to the aged as defined in Section 62A-3-101.

  • General hospital means a subclass of hospital that provides surgical services and emergency services.

  • Psychiatric hospital means an Institution constituted, licensed, and operated as set forth in the laws that apply to Hospitals, which meets all of the following requirements:

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • Health care system means any public or private entity whose function or purpose is the management of, processing of, enrollment of individuals for or payment for, in full or in part, health care services or health care data or health care information for its participants;

  • Hospice means a public agency or private organization licensed pursuant to Chapter 400, Florida Statutes, to provide Hospice services. Such licensed entity must be principally engaged in providing pain relief, symptom management, and supportive services to terminally ill Members and their families.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • School District/Public Entity means the School District/Public Entity that executes the contract.

  • Health care insurer means a disability insurer, group

  • UCITS management company means a management company as defined in Directive 2009/65/EC of the European Parliament and of the Council of 13 July 2009 on the coordination of laws, regulations and administrative provisions relating to undertakings for collective investment in transferable securities (UCITS)1;

  • Management Company means the firm overseeing the operation and management of the Participating Property; and shall mean the Grantee in any event wherein the Management Company is required to perform any obligations under this Agreement.

  • Health care entity means any health care provider, health plan or health care clearinghouse.

  • SPECIALTY HOSPITAL means a hospital or the specialty unit of a general hospital that is licensed by the state. It must be designed to care for patients with injuries or special illnesses. This includes, but is not limited to, a long-term acute care unit, an acute mental health or acute short-term rehabilitation unit or hospital. Hospital does not mean: • convalescent home; • rest home; • nursing home; • home for the aged; • school and college infirmary; • residential treatment facility; • long-term care facility; • urgent care center or freestanding ambulatory surgical center; • facility providing mainly custodial, educational or rehabilitative care; or • a section of a hospital used for custodial, educational or rehabilitative care, even if accredited by the JCAHO or listed in the AHA directory.