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(i) Medicaid long-term routine costs, obtained by dividing the allowable routine costs by the number of total long-term care patient days, as those numbers given in the adjusted Medicare cost report, and multiplying the resulting quotient by the total Medicaid long-term care patients as adjusted in accordance with 7 AAC 150.170 and 7 AAC 150.200; and

(ii) Medicaid long-term care ancillary costs, obtained by multiplying for each allowable cost center the total Medicaid charges, as given in the adjusted Medicare cost report, by the cost-to-charge ratio for that cost center, and by totaling the resulting products for the aggregate amount of long-term care ancillary costs; or

(B) 100 percent of charges in the aggregate to the general public; the department will calculate those charges as the sum of the

(i) long-term care routine charges to Medicaid patients, as reported on the MR-0-14 report; and

(ii) long-term care charges for ancillary services to Medicaid patients, as those charges are determined from the adjusted Medicare cost report. (h) If the facility is granted a certificate of need under AS 18.07 to make an expenditure of at least $5,000,000, the department will allow a change in the per-day rates calculated under this section for certificate of need capital costs as follows:

(1) the department will change the per-day rate when the assets that have a certificate of need are placed in service by the facility after the base year;

(2) for facilities that provide both a long-term care component and a general acute care hospital component, budgeted capital will be allocated to each component based upon anticipated capital use for each component as determined by the department from the appropriate certificate of need documents and supporting documentation;

(3) if a facility is granted a certificate of need to make an expenditure of at least $5,000,000 to construct additional beds, additional capital payment add-on amounts to the per-day rate include the base year’s patient days plus additional patient days associated with the additional beds; the additional days are calculated as the facility’s base year occupancy percentage multiplied by 80 percent and multiplied by the additional beds approved in the certificate of need; the resulting figure is further multiplied by 365;

(4) the capital component of the rates will be adjusted to reflect appropriate capital costs for the prospective rate year based on certificate of need documentation, assets retired in conjunction with the certificate of need, and Medicare cost reporting requirements. (i) If a new facility or a new psychiatric unit in a general acute care hospital, except a general acute care hospital subject to Diagnosis Related Groups (DRG) reimbursement under 7 AAC 150.250, is licensed or certified, or if a new provider begins to participate in the per-day prospective payment system, the rates for the facility will be calculated as follows:

(1) for general acute care and specialty hospitals, the inpatient per-day rate and the