DORA Regulatory Notice

DORA Regulatory Notice

The Department of Health Care Policy and Financing - Medical Services will be holding a rulemaking hearing on Friday, July 10th, 2015, 9:00 am on rules regarding Medicaid Outpatient Hospital Rate Increa. The hearing will be held at: 303 East 17th Avenue, 7th Floor, Denver CO 80203.

The purpose of this rulemaking is:

On April 24, 2015, Governor Hickenlooper signed Senate Bill 15-234, which set the Colorado state budget for FY 2015-16. After much debate by the General Assembly, the signed budget includes reimbursement increases for Medicaid providers, including hospitals. As a result, Medicaid hospitals are receiving a 0.5% increase in their reimbursement rate for outpatient services. This outpatient reimbursement rate change requires a new rule since the rate history is included in the regulation for cost settlement purposes. Currently, hospitals are reimbursed at 71.6% of cost for outpatient services (excluding those services reimbursed based upon the fee schedule such as lab, physical therapy, and occupational therapy). Effective July 1, 2015, the proposed rule will change the reimbursement to 72% of cost, which represents a payment increase of 0.5% as required by Senate Bill 15-234.
If you believe there will be a significant negative impact on small business, job creation or economic competitiveness, you may request that the Department of Regulatory Agencies require the rulemaking agency to prepare a cost-benefit analysis of a proposed rule or amendment. This request must be made to the Department of Regulatory Agencies by Monday, June 15th, 2015.

You may also submit comments directly to the rulemaking agency for the agency's consideration during the upcoming rulemaking hearing.

We hope this information is helpful to you. Thank you for taking the time to participate in the rulemaking process.