Pennsylvania Code & Bulletin

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 7346 (November 25, 2023).

55 Pa. Code § 6211.18. Upper limits of payment if the standard interim per diem rate is used.

§ 6211.18. Upper limits of payment if the standard interim per diem rate is used.

 If the standard interim per diem rate is used, the provider shall operate within the total projected operating cost as defined in §  6211.16(c) (relating to establishment of standard interim per diem rate). Actual, allowable and reasonable costs shall be determined at the time of audit, in accordance with this subchapter and HIM-15. Total reimbursement is limited to the sum of verified actual, allowable costs plus the efficiency incentive payment, if applicable, or the total projected operating cost, whichever is lower.

Cross References

   This section cited in 55 Pa. Code §  6211.41 (relating to cost reimbursement).

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