Upper payment limit means the maximum ceiling imposed by
Upper payment limit means the aggregate federal upper
Upper payment limit or "UPL" means the methodology permitted by federal
Examples of Upper payment limit in a sentence
Upper payment limit (UPL) payments, Trauma Add-On payments and Trauma Outlier payments, if applicable, will be included in addition to the above other Medicaid payments for purposes of determining the hospital-spe- cific DSH limit in the annual independent DSH audit.
Upper payment limit gap" means the difference between the upper payment limit and SoonerCare payments not financed using hospital assessments.
Also included in the With Waiver expenditures is non HR disproportionate share hospital (DSH), Upper payment limit (UPL) payments, payments under the family planning expansion and expenditures under the Community Health Care Conversion Demonstration Project.
More Definitions of Upper payment limit
Upper payment limit means a federal upper payment limit on the amount of the Medicaid payment for which federal financial participation is available for a class of service and a class of health care providers, as specified in Part 447 of Title 42 of the Code of Federal Regulations. The applicable upper payment limit shall be separately calculated for inpatient and outpatient hospital services.
Upper payment limit. (UPL)" means the maximum ceiling imposed by 42 C F R ''42 C.F.R. §§ 447.272 and 447.321 on hospital Medicaid reimbursement for inpatient and outpatient services, other than to hospitals owned or operated by state government.
Upper payment limit or "UPL" means the methodology permitted by federal regulation to achieve the maximum allowable amount on aggregate hospital Medicaid payments to non-state government-owned hospitals and private hospitals under 42 C.F.R. sec. 447.272. A separate UPL shall be estimated for non-state government-owned hospitals and private hospitals; and
Upper payment limit. (UPL)" means the maximum ceiling imposed by 42 C F R ''42 Code of Federal Regulations (C.F.R.) §§
Upper payment limit means the aggregate federal upper payment limit on the amount of the medicaid payment for which federal financial participation is available for a class of service and a class of health care providers, as specified in 42 C.F.R. Part 47, as separately determined for inpatient and outpatient hospital services.
Upper payment limit means a federal upper payment limit on the amount of the medicaid payment for which federal financial participation is available for a class of services and a class of health care providers, as specified in 42 CFR 447.
Upper payment limit means the aggregate federal upper payment limit on the amount of the medicaid payment for which federal financial participation is available for a class of service and a class of health care providers, as specified in 42 C.F.R. Part 47, as separately determined for inpatient and outpatient hospital services. [2019 c 318 § 2; 2017 c 228 § 2; 2013 2nd sp.s. c 17 § 2; 2010 1st sp.s. c 30 § 2.]