Library: Policy

317:30-5-664.11. PPS rate reconciliation to Health Centers

Revised 6-25-07

(a) PPS reconciliation/wrap-around adjustments will be made for the difference in the facility-specific PPS rate and the fee schedule payments.

(b) OHCA compares the total payments due under the PPS rate per visit method and the payments made under the methods described in OAC 317:30-5-664.10 (b) and (c).

(c) OHCA will make an adjustment for the difference in the payments allowed and the facility-specific PPS rate.  The difference in payments will be reconciled not less often than quarterly.