District of Columbia · Through 2026-08-20 (D.C. Law 26-175)

D.C. Code § 44-664.01: Definitions.

For the purposes of this subchapter, the term:

(a)
(1)
"Department" means the Department of Health Care Finance.
(2)
"Hospital" shall have the same meaning as provided in § 44-501(a)(1), but excludes any hospital operated by the federal government.
(3)
"Hospital system" means any group of hospitals licensed separately, but operated, owned, or maintained by a common entity.
(4)
"Medicaid" means the medical assistance programs authorized by Title XIX of the Social Security Act, approved July 30, 1965 (79 Stat. 343; 42 U.S.C. § 1396 et seq.), and by § 1-307.02, and administered by the Department.
(5)
(A)
"Outpatient gross patient revenue" means the amount that is reported in column 2 of line 28 of Worksheet G-2 of the hospital's most recently available Hospital and Hospital Health Care Complex Cost Report ("Form CMS 2552-10").
(B)
Notwithstanding subparagraph (A) of this paragraph, for a hospital that has not yet filed its first Form CMS-2552-10, the term "outpatient gross patient revenue" shall mean a dollar value determined by the Department based on projected utilization volume and projected utilization migration from other area hospitals that approximates the hospital's expected outpatient gross patient revenue.

Where this section sits in the code

Title 44. Charitable and Curative Institutions.
Chapter 6A. Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements.
Subchapter VII. Hospital Outpatient Supplemental Payment.

For the purposes of this subchapter, the term:

(a)

(1)

"Department" means the Department of Health Care Finance.

(2)

"Hospital" shall have the same meaning as provided in § 44-501(a)(1), but excludes any hospital operated by the federal government.

(3)

"Hospital system" means any group of hospitals licensed separately, but operated, owned, or maintained by a common entity.

(4)

"Medicaid" means the medical assistance programs authorized by Title XIX of the Social Security Act, approved July 30, 1965 (79 Stat. 343; 42 U.S.C. § 1396 et seq.), and by § 1-307.02, and administered by the Department.

(5)

(A)

"Outpatient gross patient revenue" means the amount that is reported in column 2 of line 28 of Worksheet G-2 of the hospital's most recently available Hospital and Hospital Health Care Complex Cost Report ("Form CMS 2552-10").

(B)

Notwithstanding subparagraph (A) of this paragraph, for a hospital that has not yet filed its first Form CMS-2552-10, the term "outpatient gross patient revenue" shall mean a dollar value determined by the Department based on projected utilization volume and projected utilization migration from other area hospitals that approximates the hospital's expected outpatient gross patient revenue.

Collected 2026-08-29T05:44:07Z. Source file · JSON

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