Hospitals in Montana pay a utilization fee for each inpatient bed day and a percentage of outpatient revenue.
An inpatient bed day is a day of inpatient care provided by a hospital and includes:
- All inpatient hospital benefit days defined for Medicare reporting purposes (Chapter 3, Section 20.1 Medicare Benefit Policy Manual)
- All nursery days for newborn infant care
Inpatient bed days do not include observation days or days of care in a swing bed. (50-5-101, MCA)
Outpatient revenue means the gross revenue from a hospital’s charges for services provided on an outpatient basis. The term does not include charges for professional services provided as part of the outpatient treatment (15-66-101(2), MCA).
To properly calculate the fees use the inpatient days and outpatient visits for the period January 1 through December 31, 2019.
- $70 per inpatient bed filled per day and
- 0.90% of outpatient revenue.
The utilization fee for each inpatient bed day is currently $50 through June 30, 2019.
The fee increases to $70 beginning July 1, 2019.The utilization fee on outpatient revenue is 0.90% of outpatient revenue received. The new fee takes effect July 1, 2019.
Reporting and Payment Options
Penalties and Interest
The Hospital Facility Utilization Fee (HUF) is subject to uniform penalties and interest.
HUF revenue goes into a state special revenue fund used by the Department of Public Health and Human Services.