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HRS §346D-1.5

Medicaid long-term care payment equality

This section makes Medicaid pay the same for long-term care in hospitals and nursing homes, based only on the level of care. It does not apply to critical access hospitals, but if one converts to another type after April 1, 2025, it may keep different rates.

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The statute, as written — Medicaid reimbursement equity

Not later than July 1, 2008, there shall be no distinction between hospital-based and nonhospital-based reimbursement rates for institutionalized long-term care under medicaid. Reimbursement for institutionalized intermediate care facilities and institutionalized skilled nursing facilities shall be based solely on the level of care rather than the location. This section shall not apply to critical access hospitals. Reimbursement rates for facilities that convert from a critical access hospital to another facility type after April 1, 2025, may maintain a distinction after the facility's conversion.
Read the official text at capitol.hawaii.gov ↗as published Jan 6, 2026our copy taken Aug 20, 2026

LawTrove is not legal advice. The summary above is a computer-generated restatement — the authoritative text is the official version linked above.