District of Columbia § 44-665.13 Outpatient hospital directed payment provider fee.

District of Columbia Statutes

§ 44-665.13 — Outpatient hospital directed payment provider fee.

District of Columbia § 44-665.13

Title 44Charitable and Curative Institutions.

Ch. 6AMedicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements.

Subch. XMedicaid Outpatient Hospital Directed Payment.

This text of District of Columbia § 44-665.13 (Outpatient hospital directed payment provider fee.) is published on Counsel Stack Legal Research, covering District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

D.C. Code § 44-665.13 (2026).

Text

(a)The District may charge each hospital a fee based on its outpatient gross patient revenue. The fee shall be charged at a uniform rate among all hospitals. The rate of the fee shall be established by the Department and generate an amount equal to:

(1)The non-federal share of the quarterly outpatient hospital directed payment, consistent with the applicable State directed payment preprint approved by the Centers for Medicare and Medicaid Services; and

(2)The District retention.

(b)If the Department calculates the fee under subsection (a) based in part on the outpatient gross patient revenue of a new hospital that has not yet filed its first Hospital and Hospital Health Care Complex Cost Report ("Form CMS-2552-10"), the Department shall, after the hospital files its first Form C

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(a) The District may charge each hospital a fee based on its outpatient gross patient revenue. The fee shall be charged at a uniform rate among all hospitals. The rate of the fee shall be established by the Department and generate an amount equal to:

(1) The non-federal share of the quarterly outpatient hospital directed payment, consistent with the applicable State directed payment preprint approved by the Centers for Medicare and Medicaid Services; and

(2) The District retention.

(b) If the Department calculates the fee under subsection (a) based in part on the outpatient gross patient revenue of a new hospital that has not yet filed its first Hospital and Hospital Health Care Complex Cost Report ("Form CMS-2552-10"), the Department shall, after the hospital files its first Form CMS-2552-10:

(1) Adjust the fee retroactively based on the outpatient gross patient revenue of the new hospital using the calculation provided by § 44-665.11(7)(A)

(2) Bill the new hospital for any difference in amount owed, if any; and

(3) Retroactively adjust the fees charged to all other hospitals to account for the change in the new hospital's fee obligations.

(1) Except as provided in paragraph (2) of this subsection, the following hospitals shall be exempt from the fee imposed under subsection (a) of this subsection:

(A) A psychiatric hospital that is an agency or a unit of the District government;

(B) Howard University Hospital.

(2) If an exemption provided to a hospital by paragraph (1) of this subsection is not approved for a provider tax waiver from the Centers for Medicare and Medicaid Services (if such waiver is determined to be necessary), the hospital shall be subject to the fee imposed under subsection (a) of this section.