Sec.17-311-162. Self-pay charges for ancillary services

(a) Ancillary services means those charges to patients which are directly identifiable as customary medical services rendered to individual patients, and furnished at the direction of a physician because of specific medical need and are either not reusable or represent a cost for each preparation (e.g., physical therapy, speech therapy, catheters, colostomy bags, prosthetic devices, and all other similar services or devices), provided that with respect to services, such services are rendered by employees of the Facility. Services rendered by outside consultants or independent contractors who establish and determine the charges to the patient for such services, and to which charges the facility does not add a mark-up for overhead or profit, shall not be considered ancillary services for the purposes of this regulation. Ancillary services shall not be construed to include any good or service for which the department reimburses a facility in the medicaid rate for the care of Title XIX patients.

(b) Effective July 1, 1980, self-pay charges for ancillary services shall be the ancillary charges in effect on December 1, 1979 increased by the percentage factor used in section 17-311-161 (b) for semi-private 2-bed room accommodations. Thereafter, for each ensuing rate year, self-pay charges for ancillary services shall be the prior year's self-pay charges for ancillary services increased by the percentage factor used in section 17-311-161 (b) for semi-private 2-bed room accommodations. Each self-pay patient shall receive an itemized statement of the ancillary services for which the patient is charged. Effective with the rate year commencing July 1, 1986, self-pay charges for ancillary services shall be the ancillary charges in effect on July 1, 1985 increased by the percentage factor by which the facility's self-pay rates for semi-private 2-bed room accommodations increased from the preceding rate year. Thereafter, for each ensuing rate year, self-pay charges for ancillary charges shall be the ancillary charges in effect on June 30 of the preceding rate year increased by the percentage factor by which the facility's self-pay rates for semi-private 2-bed room accommodations increased from the preceding rate year.

(Effective June 2, 1986)