Section 40-26B-79 Inpatient Medicaid base payments.
Section 40-26B-79
Inpatient Medicaid base payments.
(a) Medicaid shall pay hospitals as a base amount for state fiscal years 2010 and 2011 the total inpatient payments made by Medicaid during state fiscal year 2007, divided by the total patient days paid in state fiscal year 2007, multiplied by patient days paid during fiscal years 2010 and 2011. This payment to be paid using Medicaid's published check write table is in addition to any access payments, disproportionate share payments, or other payments described in this article.
(b) Any publicly owned or privately operated hospital that ceases to operate as a hospital that was in operation during the hospital's fiscal year ending in 2007 shall notify Medicaid at the time the facility ceases to operate. Base payments that would have been made to these facilities for these services will not be made beginning on the date that the facility ceased to operate as a hospital and will be held in the Hospital Assessment Account.
(c) Any publicly owned or privately operated hospital that ceases to operate an obstetrical or psychiatric unit after September 30, 2009, that was in operation during the hospital's fiscal year ending in 2007 shall notify Medicaid at the time the facility ceases to operate an obstetrical or psychiatric unit. Base payments that would have been made to these facilities for these services will not be made beginning on the date after September 30, 2009, that the facility ceased to operate an obstetrical or psychiatric unit and will be held in the Hospital Assessment Account.
(d) Funds held in the Hospital Assessment Account due to base payments withheld from hospitals shall be paid at the end of the state fiscal year as follows:
(1) Any hospital, in the same geographic market area of a hospital that ceases to operate, that has experienced increased utilization from 2007 shall receive a proportionate increase in base payments financed by withheld base payments due to hospitals that ceased to operate.
(2) Any hospital, in the same geographic market area of a hospital that closed an obstetrical unit, that experiences increased obstetrical utilization after September 30, 2009, shall receive a proportionate increase in base payments financed by withheld base payments due to hospitals that ceased to operate an obstetrical unit.
(3) Any hospital in the same geographic market area of a hospital that closed a psychiatric unit which experiences increased psychiatric utilization after September 30, 2009, shall receive a proportionate increase in base payments financed by withheld base payments due to hospitals that ceased to operate a psychiatric unit.
(4) Any funds not expended shall be paid to all hospitals proportionally to total base payments at the end of the state fiscal year.
(Act 2009-549, §2.)