TITLE 40
Human services
CHAPTER 40-8.3
Uncompensated Care
SECTION 40-8.3-3
§ 40-8.3-3 Implementation.
(a) For federal fiscal year 2014, commencing on October 1, 2013 and ending
September 30, 2014, the executive office of health and human services shall
submit to the Secretary of the U.S. Department of Health and Human Services a
state plan amendment to the Rhode Island Medicaid state plan for
disproportionate share hospital payments (DSH Plan) to provide:
(1) That the disproportionate share hospital payments to all
participating hospitals, not to exceed an aggregate limit of $136.8 million,
shall be allocated by the executive office of health and human services to the
Pool A, Pool C and Pool D components of the DSH Plan; and,
(2) That the Pool D allotment shall be distributed among the
participating hospitals in direct proportion to the individual participating
hospital's uncompensated care costs for the base year, inflated by the
uncompensated care index to the total uncompensated care costs for the base
year inflated by uncompensated care index for all participating hospitals. The
disproportionate share payments shall be made on or before July 14, 2014 and
are expressly conditioned upon approval on or before July 7, 2014 by the
Secretary of the U.S. Department of Health and Human Services, or his or her
authorized representative, of all Medicaid state plan amendments necessary to
secure for the state the benefit of federal financial participation in federal
fiscal year 2014 for the disproportionate share payments.
(b) For federal fiscal year 2015, commencing on October 1,
2014 and ending September 30, 2015, the executive office of health and human
services shall submit to the Secretary of the U.S. Department of Health and
Human Services a state plan amendment to the Rhode Island Medicaid state plan
for disproportionate share hospital payments (DSH Plan) to provide:
(1) That the disproportionate share hospital payments to all
participating hospitals, not to exceed an aggregate limit of $140.0 million,
shall be allocated by the executive office of health and human services to the
Pool A, Pool C and Pool D components of the DSH Plan; and,
(2) That the Pool D allotment shall be distributed among the
participating hospitals in direct proportion to the individual participating
hospital's uncompensated care costs for the base year, inflated by the
uncompensated care index to the total uncompensated care costs for the base
year inflated by uncompensated care index for all participating hospitals. The
disproportionate share payments shall be made on or before July 13, 2015 and
are expressly conditioned upon approval on or before July 6, 2015 by the
Secretary of the U.S. Department of Health and Human Services, or his or her
authorized representative, of all Medicaid state plan amendments necessary to
secure for the state the benefit of federal financial participation in federal
fiscal year 2015 for the disproportionate share payments.
(c) For federal fiscal year 2016, commencing on October 1,
2015 and ending September 30, 2016, the executive office of health and human
services shall submit to the Secretary of the U.S. Department of Health and
Human Services a state plan amendment to the Rhode Island Medicaid state plan
for disproportionate share hospital payments (DSH Plan) to provide:
(1) That the disproportionate share hospital payments to all
participating hospitals, not to exceed an aggregate limit of $138.2 million,
shall be allocated by the executive office of health and human services to the
Pool A, Pool C and Pool D components of the DSH Plan; and,
(2) That the Pool D allotment shall be distributed among the
participating hospitals in direct proportion to the individual participating
hospital's uncompensated care costs for the base year, inflated by the
uncompensated care index to the total uncompensated care costs for the base
year inflated by uncompensated care index for all participating hospitals. The
disproportionate share payments shall be made on or before July 11, 2016 and
are expressly conditioned upon approval on or before July 5, 2016 by the
Secretary of the U.S. Department of Health and Human Services, or his or her
authorized representative, of all Medicaid state plan amendments necessary to
secure for the state the benefit of federal financial participation in federal
fiscal year 2016 for the disproportionate share payments.
(d) No provision is made pursuant to this chapter for
disproportionate share hospital payments to participating hospitals for
uncompensated care costs related to graduate medical education programs.
(e) The executive office of health and human services is
directed, on at least a monthly basis, to collect patient level uninsured
information, including, but not limited to, demographics, services rendered,
and reason for uninsured status from all hospitals licensed in Rhode Island.
(f) Beginning with federal FY 2016, Pool D DSH payments will
be recalculated by the state based on actual hospital experience. The final
Pool D payments will be based on the data from the final DSH audit for each
federal fiscal year. Pool D DSH payments will be redistributed among the
qualifying hospitals in direct proportion to the individual qualifying
hospital's uncompensated care to the total uncompensated care costs for all
qualifying hospitals as determined by the DSH audit. No hospital will receive
an allocation that would incur funds received in excess of audited
uncompensated care costs.
History of Section.
(P.L. 1996, ch. 100, art. 42, § 1; P.L. 1997, ch. 30, art. 21, § 1;
P.L. 1998, ch. 31, art. 7, § 1; P.L. 1999, ch. 31, art. 15, § 1; P.L.
2000, ch. 55, art. 16, § 1; P.L. 2001, ch. 77, art. 25, § 1; P.L.
2002, ch. 65, art. 21, § 1; P.L. 2003, ch. 376, art. 19, § 1; P.L.
2004, ch. 595, art. 9, § 1; P.L. 2005, ch. 117, art. 9, § 1; P.L.
2006, ch. 246, art. 13, § 1; P.L. 2007, ch. 73, art. 19, § 1; P.L.
2008, ch. 100, art. 19, § 1; P.L. 2009, ch. 68, art. 19, § 1; P.L.
2010, ch. 23, art. 15, § 1; P.L. 2011, ch. 151, art. 18, § 1; P.L.
2012, ch. 241, art. 15, § 1; P.L. 2013, ch. 144, art. 12, § 1; P.L.
2014, ch. 145, art. 17, § 1; P.L. 2015, ch. 141, art. 5, §
14.)
