Page 47

Official source

UNOFFICIAL 1700.1-47 intellectual disability for a total of twelve months during the eighteen month period immediately preceding the effective date of appointment as a nurse practitioner by the facility administrator. “Nursing facility level of care” means the determination that a member requires the services of licensed nurses in an institutional setting to carry out the physician’s planned regimen for total care. These services can be provided in the home or in community-based programs as a cost-neutral, least restrictive alternative to institutional care in a hospital or nursing facility. “OASDI” means old-age, survivors, and disability insurance benefits authorized under Title II of the Social Security Act and administered by the Social Security Administration. “OBRA 87” means the Omnibus Budget Reconciliation Act of 1987, Pub. L. 100-203, and its interpretive guidelines and implementing regulations. “OBRA 87 adjustment” means the adjustment to the basic PPS rate to reimburse a provider for the incremental costs of complying with OBRA 87. The OBRA 87 adjustment was paid under a prior version of this provision during the period beginning June 1, 1993, and ending June 30, 1997. “Old beds” mean the beds of a provider that were placed in service prior to the implementation of the Hawaii Medicaid program's initial prospective payment system. “Open application period” means the only period during which applications for Basic Health Hawaii shall be accepted from individuals subject to a specified duration or the statewide enrollment limit. “Operating year” means the twelve consecutive month period beginning on the latest of the following dates: (1) The effective date of the plan amendment that adds this definition to the plan; or (2) The date that a hospital becomes a provider.

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Page 47

Official source

UNOFFICIAL 1700.1-47 intellectual disability for a total of twelve months during the eighteen month period immediately preceding the effective date of appointment as a nurse practitioner by the facility administrator. “Nursing facility level of care” means the determination that a member requires the services of licensed nurses in an institutional setting to carry out the physician’s planned regimen for total care. These services can be provided in the home or in community-based programs as a cost-neutral, least restrictive alternative to institutional care in a hospital or nursing facility. “OASDI” means old-age, survivors, and disability insurance benefits authorized under Title II of the Social Security Act and administered by the Social Security Administration. “OBRA 87” means the Omnibus Budget Reconciliation Act of 1987, Pub. L. 100-203, and its interpretive guidelines and implementing regulations. “OBRA 87 adjustment” means the adjustment to the basic PPS rate to reimburse a provider for the incremental costs of complying with OBRA 87. The OBRA 87 adjustment was paid under a prior version of this provision during the period beginning June 1, 1993, and ending June 30, 1997. “Old beds” mean the beds of a provider that were placed in service prior to the implementation of the Hawaii Medicaid program's initial prospective payment system. “Open application period” means the only period during which applications for Basic Health Hawaii shall be accepted from individuals subject to a specified duration or the statewide enrollment limit. “Operating year” means the twelve consecutive month period beginning on the latest of the following dates: (1) The effective date of the plan amendment that adds this definition to the plan; or (2) The date that a hospital becomes a provider.