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).

Fees

To properly calculate the fees, use the inpatient days and outpatient visits for the period January 1 through December 31.

Montana charges:

• $70 per inpatient bed filled per day and
• 0.90% of outpatient revenue.

Due Dates

March 31

Reporting and Payment Options

Both fees are reported on the same form. You may:

• File and pay through our TransAction Portal (TAP) or
• Make an ACH Credit Payment

Penalties and Interest

The Hospital Facility Utilization Fee (HUF) is subject to uniform penalties and interest.

Revenue Distribution

HUF revenue goes into a state special revenue fund used by the Department of Public Health and Human Services.

Related Laws

• 15-66-101 through 15-66-209, MCA
• 42.31.1002, ARM