(a)As used in this chapter:
(i)"Account" means the private hospital assessment
account created by W.S. 42-9-103;
(ii)"Department" means the department of health;
(iii)"Fiscal year" means the twelve (12) month
period beginning October 1 and ending September 30;
(iv)"Medicaid" means the medical assistance program
established by title XIX of the federal Social Security Act and
administered in this state by the department pursuant to the
Wyoming Medical Assistance and Services Act;
(v)"Medicare cost report" means the annual hospital
cost report as determined by the centers for medicare and
medicaid services and as reported to the health care cost report
information system;
(vi)"Net hospital patient revenue" means gross
hospital revenue as reported on the most recently filed medicare
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(a) As used in this chapter:
(i) "Account" means the private hospital assessment
account created by W.S. 42-9-103;
(ii) "Department" means the department of health;
(iii) "Fiscal year" means the twelve (12) month
period beginning October 1 and ending September 30;
(iv) "Medicaid" means the medical assistance program
established by title XIX of the federal Social Security Act and
administered in this state by the department pursuant to the
Wyoming Medical Assistance and Services Act;
(v) "Medicare cost report" means the annual hospital
cost report as determined by the centers for medicare and
medicaid services and as reported to the health care cost report
information system;
(vi) "Net hospital patient revenue" means gross
hospital revenue as reported on the most recently filed medicare
cost report, excluding estimated nonhospital ancillary revenue,
multiplied by the hospital’s ratio of total net to gross
revenue. The department shall establish a procedure to
reconcile filed cost report information with information from
the settled cost report. If a hospital does not file a medicaid
cost report, the department shall establish a procedure to
determine what the hospital would have reported as net patient
hospital revenue if the hospital had filed a medicaid cost
report;
(vii) "Private hospital" means those institutions
licensed by the department as hospitals which are not owned or
operated by the state or any city, town, county, special
district or other political subdivision of the state or local
government;
(viii) "Quarterly adjustment payment" means the
payment made to private hospitals pursuant to W.S. 42-9-106;
(ix) "Upper payment limit" means the applicable
limitation established pursuant to 42 C.F.R. 447.272, 42 C.F.R.
447.321 or as otherwise established by the centers for medicare
and medicaid services;
(x) "Upper payment limit gap" means the amount
calculated annually by the department constituting the
difference between the applicable upper payment limit and
medicaid payments made subject to that limit in a fiscal year,
excluding any quarterly adjustment payments authorized by this
chapter;
(xi) "Hospital services" means inpatient, outpatient
and other services provided by a private hospital or by
practitioners employed by, under contract with or in affiliation
with a hospital-affiliated professional service provider group.
Hospital services for purposes of this act include services
provided in a psychiatric residential treatment facility owned,
operated by or affiliated with a private hospital.