2011 Connecticut Code
Title 19a Public Health and Well-Being
Chapter 368z Office of Health Care Access
Sec. 19a-671. (Formerly Sec. 19a-169b). Calculation and determination of payments.

      Sec. 19a-671. (Formerly Sec. 19a-169b). Calculation and determination of payments. The Commissioner of Social Services is authorized to determine the amount of payments pursuant to sections 19a-670, 19a-670a, 19a-671, 19a-671a and 19a-672 for each hospital. The commissioner's determination shall be based on the advice of the office and the application of the calculation in this section. For each hospital, the Office of Health Care Access shall calculate the amount of payments to be made pursuant to sections 19a-670, 19a-670a, 19a-671, 19a-671a and 19a-672 as follows:

      (1) For the period April 1, 1994, to June 30, 1994, inclusive, and for the period July 1, 1994, to September 30, 1994, inclusive, the office shall calculate and advise the Commissioner of Social Services of the amount of payments to be made to each hospital as follows:

      (A) Determine the amount of pool payments for the hospital, including grants approved pursuant to section 19a-168k, in the previously authorized budget authorization for the fiscal year commencing October 1, 1993.

      (B) Calculate the sum of the result of subparagraph (A) of this subdivision for all hospitals.

      (C) Divide the result of subparagraph (A) of this subdivision by the result of subparagraph (B) of this subdivision.

      (D) From the anticipated appropriation to the medical assistance disproportionate share-emergency assistance account made pursuant to sections 3-114i and 12-263a to 12-263e, inclusive, subdivisions (2) and (29) of subsection (a) of section 12-407, subdivision (1) of section 12-408, section 12-408a, subdivision (5) of section 12-412, subdivision (1) of section 12-414 and sections 19a-646, 19a-659, 19a-662, 19a-669 to 19a-670a, inclusive, 19a-671, 19a-671a, 19a-672, 19a-672a, 19a-673 and 19a-676, for the quarter subtract the amount of any additional medical assistance payments made to hospitals pursuant to any resolution of or court order entered in any civil action pending on April 1, 1994, in the United States District Court for the district of Connecticut, and also subtract the amount of any emergency assistance to families payments projected by the office to be made to hospitals in the quarter.

      (E) The disproportionate share payment shall be the result of subparagraph (D) of this subdivision multiplied by the result of subparagraph (C) of this subdivision.

      (2) For the fiscal year commencing October 1, 1994, and subsequent fiscal years, the interim payment shall be calculated as follows for each hospital:

      (A) For each hospital determine the amount of the medical assistance underpayment determined pursuant to section 19a-659, plus the actual amount of uncompensated care including emergency assistance to families determined pursuant to section 19a-659, less any amount of uncompensated care determined by the Department of Social Services to be due to a failure of the hospital to enroll patients for emergency assistance to families, plus the amount of any grants authorized pursuant to the authority of section 19a-168k.

      (B) Calculate the sum of the result of subparagraph (A) of this subdivision for all hospitals.

      (C) Divide the result of subparagraph (A) of this subdivision by the result of subparagraph (B) of this subdivision.

      (D) From the anticipated appropriation made to the medical assistance disproportionate share-emergency assistance account pursuant to sections 3-114i and 12-263a to 12-263e, inclusive, subdivisions (2) and (29) of subsection (a) of section 12-407, subdivision (1) of section 12-408, section 12-408a, subdivision (5) of section 12-412, subdivision (1) of section 12-414 and sections 19a-646, 19a-659, 19a-662, 19a-669 to 19a-670a, inclusive, 19a-671, 19a-671a, 19a-672, 19a-672a, 19a-673 and 19a-676, for the fiscal year, subtract the amount of any additional medical assistance payments made to hospitals pursuant to any resolution of or court order entered in any civil action pending on April 1, 1994, in the United States District Court for the district of Connecticut, and also subtract any emergency assistance to families payments projected by the office to be made to the hospitals for the year.

      (E) The disproportionate share payment shall be the result of subparagraph (D) of this subdivision multiplied by the result of subparagraph (C) of this subdivision.

      (P.A. 94-9, S. 6, 41; P.A. 95-257, S. 39, 58; 95-306, S. 5, 7; P.A. 96-165, S. 6, 9; June Sp. Sess. P.A. 00-2, S. 26, 53; P.A. 02-89, S. 42; 02-101, S. 11; 02-103, S. 31; P.A. 06-64, S. 17; P.A. 07-149, S. 11.)

      History: P.A. 94-9 effective April 1, 1994; P.A. 95-257 replaced Commission on Hospitals and Health Care with Office of Health Care Access, effective July 1, 1995; P.A. 95-306 amended Subdivs. (1)(D) and (2)(D) by requiring the subtraction of any medical assistance payments made to hospitals pursuant to any court order entered in any civil action pending on April 1, 1994, in the United States District Court for the district of Connecticut, from the anticipated appropriation to the medical assistance disproportionate share-emergency assistance account, effective July 6, 1995; P.A. 96-165 amended Subdivs. (1)(D) and (2)(D) to make technical changes, effective July 1, 1996; Sec. 19a-169b transferred to Sec. 19a-671 in 1997 (Revisor's note: In 1997 when transferring this section the Revisors editorially omitted references to repealed sections 19a-168k and 19a-169d from Subdivs. (1)(D) and (2)(D)); June Sp. Sess. P.A. 00-2 amended Subdiv. (2)(A) by changing "authorized" to "actual" amount of uncompensated care, effective July 1, 2000; P.A. 02-89 replaced references to Sec. 19a-666 with Sec. 19a-667, reflecting the repeal of Sec. 19a-666 by the same public act; P.A. 02-101 made technical changes, effective July 1, 2002; P.A. 02-103 made technical changes; P.A. 06-64 amended Subdivs. (1)(D) and (2)(D) to delete references to repealed Secs. 19a-661, 19a-667, 19a-668, 19a-677 and 19a-679, effective July 1, 2006; P.A. 07-149 made technical changes.