Oregon Health Authority
Health Systems Division: Medical Assistance Programs - Chapter 410
Division 125
HOSPITAL SERVICES
410-125-0165
Transfers and Reimbursement
(1) When a patient is transferred between hospitals, the transferring hospital is paid on the basis of the number of inpatient days spent at the transferring hospital multiplied by the per diem inter-hospital transfer payment rate.
(2) The per diem inter-hospital transfer payment rate = the DRG payment divided by the geometric mean length of stay for the DRG. The geometric mean length of stay is reported in the DRG tables on the Division’s website.
(3) Payment to the transferring hospital will not exceed the DRG payment.
(4) The final discharging hospital receives the full DRG payment.
Statutory/Other Authority: ORS 413.042
Statutes/Other Implemented: ORS 414.065
History:
OMAP 70-2004, f. 9-15-04, cert. ef. 10-1-04
OMAP 34-1999, f. & cert. ef. 10-1-99
HR 53-1991, f. & cert. ef. 11-18-91
HR 42-1991, f. & cert. ef. 10-1-91, Renumbered from 410-125-0480
HR 2-1991, f. & cert. ef. 1-4-91
HR 31-1990(Temp), f. & cert. ef. 9-11-90
HR 21-1990, f. & cert. ef. 7-9-90, Renumbered from 461-015-0390
AFS 72-1989, f. & cert. ef. 12-1-89, Renumbered from 461-015-0135
AFS 49-1989(Temp), f. 8-24-89, cert. ef. 9-1-89
AFS 46-1987, f. & ef. 10-1-87
AFS 44-1985, f. & ef. 7-1-85