2014 Kentucky Revised Statutes CHAPTER 205 - PUBLIC ASSISTANCE AND MEDICAL ASSISTANCE 205.641 Disproportionate share funds paid to acute care hospitals and private psychiatric hospitals.
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205.641
Disproportionate share funds paid to acute care hospitals and
private psychiatric hospitals.
(1)
Disproportionate share funds paid to acute care hospitals and private
psychiatric hospitals for state fiscal year 1999-2000 shall not exceed one
hundred thirty-one million fourteen thousand nine hundred fifty dollars and
thirty-one cents ($131,014,950.31). Within forty-five (45) days following April 4,
2000, acute care hospitals shall be paid the remaining balance of
disproportionate share funds available under the federal fiscal year 2000
disproportionate share cap. Payments shall be calculated as follows:
(a) Forty-six percent (46%) of the available disproportionate share funds
shall be allocated to acute care hospitals having one hundred (100) or
more inpatient days attributable to Medicaid patients who were
hospitalized over fourteen (14) days during the period October 1, 1998,
through September 30, 1999, as reported to the department. Each
hospital shall receive a lump sum payment to be distributed as follows:
1.
The department shall calculate the percentage that each acute care
hospital's indigent care costs constitutes of the sum of total indigent
care costs for all acute care hospitals in this category. For purposes
of this subsection, "indigent care costs" means the hospital's
inpatient and outpatient care delivered from October 1, 1998,
through September 30, 1999, to persons not eligible for medical
assistance with family incomes up to one hundred fifty percent
(150%) of the federal poverty level, as reported to the department,
multiplied by the hospital's inpatient Medicaid rate.
2.
Each acute care hospital's distribution shall be calculated by
multiplying the acute care hospital's indigent care percentage by the
total disproportionate share funds allocated to all hospitals within
this group less the minimum payment adjustment required under
paragraph (c) of this subsection.
(b) Fifty-four percent (54%) of the available disproportionate share funds
shall be allocated to acute care hospitals having less than one hundred
(100) inpatient days attributable to Medicaid patients who were
hospitalized over fourteen (14) days during the period October 1, 1998,
through September 30, 1999, as reported to the department.
1.
The department shall calculate the percentage that each acute care
hospital's indigent care costs constitutes of the sum of total indigent
care costs for all acute care hospitals in this category. For purposes
of this subsection, "indigent care costs" means a hospital's inpatient
and outpatient care delivered from October 1, 1998, through
September 30, 1999, to persons not eligible for medical assistance
with family incomes up to one hundred fifty percent (150%) of the
federal poverty level, as reported to the department, multiplied by
the hospital's inpatient Medicaid rate.
2.
Each hospital's distribution shall be calculated by multiplying the
hospital's indigent care percentage by the total disproportionate
share funds allocated to all hospitals within this group less the
minimum payment adjustment required under paragraph (c) of this
(2)
subsection.
(c) The payment made to each hospital under paragraphs (a) and (b) of this
subsection shall be at least equal to one hundred fifty thousand dollars
($150,000) but no greater than the hospital's actual indigent care costs
reported to the department for services rendered to persons who met the
program requirements for eligibility from July, 1999, through March, 2000,
that were not reimbursed under the disproportionate share program.
If federal law governing disproportionate share hospital payments changes, the
Department for Medicaid Services shall have authority to promulgate
administrative regulations in accordance with KRS Chapter 13A to comply with
the changes.
Effective:April 4, 2000
History: Created 2000 Ky. Acts ch. 310, sec. 3, effective April 4, 2000.
2014-2016 Budget Reference. See State/Executive Branch Budget, 2014 Ky. Acts
ch. 117, Pt. I, G, 3, b, (2) at 642.
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