* § 2808-c. Reimbursement of general hospital inpatient services. 1.\nGeneral hospital rates and inpatient revenue cap. In determining\npayments from all sources for general hospital inpatient services for\nthe rate year commencing on January first, nineteen hundred eighty-three\nand ending on December thirty-first, nineteen hundred eighty-three, the\nallowances set forth in subdivision four of this section shall be\nincluded. Effective January first, nineteen hundred eighty-four, the\ncommissioner shall establish, in accordance with regulations adopted by\nthe council and approved by the commissioner, the maximum amount of\ninpatient revenue a general hospital will be authorized to receive for\nservices during a designated period not to exceed twelve months from all\npayors for the provision of inpatient services. This maximum amount will\nbe known as the inpatient revenue cap and shall be established for each\ngeneral hospital possessing a valid operating certificate issued\npursuant to section twenty-eight hundred five of this article. The\ninpatient revenue cap shall be established by projecting to anticipated\nexpense levels the reimbursable historical inpatient expenses and\nfinancial needs as defined in subdivision four of this section, of a\ngeneral hospital approved for financing through inpatient service\nrevenues. Expenses included in the inpatient revenue cap are those\ndetermined to be allowable and reasonable in the provision of authorized\ninpatient services.\n The inpatient revenue caps for the rate years nineteen hundred\neighty-four and nineteen hundred eighty-five shall be determined by\ncomputing an imputed revenue cap for the period beginning January first,\nnineteen hundred eighty-three and ending December thirty-first, nineteen\nhundred eighty-three, which has been based on the cost analysis pursuant\nto paragraphs (a) and (b) of subdivision two of this section and\nadjusted each year to reflect the trend factors developed and applied in\naccordance with paragraph (e) of subdivision two of this section,\ncapital related expenses in accordance with paragraph (c) of subdivision\ntwo of this section, redetermination of additional financial needs or\nrevenue requirements in accordance with paragraph (d) of subdivision two\nof this section, adjustments made in accordance with subdivision five of\nthis section and adjustments to reflect audit findings.\n Hospital inpatient services to patients who are not beneficiaries or\nsubscribers of corporations organized and operating in accordance with\narticle forty-three of the insurance law, subchapter XVIII of the\nfederal social security act (medicare), eligible for payments made by\nstate governmental agencies, enrolled in organizations operating in\naccordance with the provisions of article forty-four of this chapter, or\nenrolled in a self-insured and self administered group covered under the\nprovisions of subdivision six of this section shall be at charges\nestablished by the hospital in accordance with the provisions of\nsubdivision six of this section with the exception that for the period\nfrom January first, nineteen hundred eighty-three through December\nthirty-first, nineteen hundred eighty-three rates of payment pursuant to\nthe provisions of the workers' compensation law, the volunteer firemen's\nbenefit law and the comprehensive automobile insurance reparations act\nshall be established at one hundred twelve percent of trended average\nper diem reimbursable cost including allowances as specified in\nsubdivision four of this section.\n Amounts prospectively established for payments for general hospital\ninpatient services provided in rate years subsequent to nineteen hundred\neighty-three made on behalf of subscribers of corporations organized and\noperating in accordance with article forty-three of the insurance law,\nbeneficiaries of subchapter XVIII of the federal social security act\n(medicare), eligibles for payments made by state governmental
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