This text of Indiana § 12-15-16-6 (Basic disproportionate payments to hospitals; amount) is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
(a)As used in this section, "low income
utilization rate" refers to the low income utilization rate described in
section 3 of this chapter.
(b)Hospitals that qualify for basic disproportionate share under
section 1(a) of this chapter shall receive disproportionate share
payments as follows:
(1)For the state fiscal year ending June 30, 1999, a pool not
exceeding twenty-one million dollars ($21,000,000) shall be
distributed to all hospitals licensed under IC 16-21 that qualify
under section 1(a)(1) of this chapter. The funds in the pool must
be distributed to qualifying hospitals in proportion to each
hospital's Medicaid day utilization rate and Medicaid discharges,
as determined based on data from the most recent audited cost
report on file with the office. Any funds remaining in the poo
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(a) As used in this section, "low income
utilization rate" refers to the low income utilization rate described in
section 3 of this chapter.
(b) Hospitals that qualify for basic disproportionate share under
section 1(a) of this chapter shall receive disproportionate share
payments as follows:
(1) For the state fiscal year ending June 30, 1999, a pool not
exceeding twenty-one million dollars ($21,000,000) shall be
distributed to all hospitals licensed under IC 16-21 that qualify
under section 1(a)(1) of this chapter. The funds in the pool must
be distributed to qualifying hospitals in proportion to each
hospital's Medicaid day utilization rate and Medicaid discharges,
as determined based on data from the most recent audited cost
report on file with the office. Any funds remaining in the pool
referred to in this subdivision following distribution to all
qualifying hospitals shall be transferred to the pool distributed
under subdivision (3).
(2) Hospitals licensed under IC 16-21 that qualify under both
section 1(a)(1) and 1(a)(2) of this chapter shall receive a
disproportionate share payment in accordance with subdivision
(1).
(3) For the state fiscal year ending June 30, 1999, a pool not
exceeding five million dollars ($5,000,000), subject to adjustment
by the transfer of any funds remaining in the pool referred to in
subdivision (1), following distribution to all qualifying hospitals,
shall be distributed to all hospitals licensed under IC 16-21 that:
(A) qualify under section 1(a)(1) or 1(a)(2) of this chapter; and
(B) have at least twenty-five thousand (25,000) Medicaid
inpatient days per year, based on data from each hospital's
Medicaid cost report for the fiscal year ended during state fiscal
year 1996.
The funds in the pool must be distributed to qualifying hospitals in
proportion to each hospital's Medicaid day utilization rate and total
Medicaid patient days, as determined based on data from the most
recent audited cost report on file with the office. Payments under this
subdivision are in place of the payments made under subdivisions (1)
and (2).
(c) This subsection does not apply during the period that the office
is assessing a hospital fee authorized by IC 16-21-10. Other institutions
that qualify as disproportionate share providers under section 1 of this
chapter, in each state fiscal year, shall receive disproportionate share
payments as follows:
(1) For each of the state fiscal years ending after June 30, 1995,
a pool not exceeding two million dollars ($2,000,000) shall be
distributed to all private psychiatric institutions licensed under IC 12-25 that qualify under section 1(a)(1) or 1(a)(2) of this chapter.
The funds in the pool must be distributed to the qualifying
institutions in proportion to each institution's Medicaid day
utilization rate as determined based on data from the most recent
audited cost report on file with the office.
(2) A pool not exceeding one hundred ninety-one million dollars
($191,000,000) for all state fiscal years ending after June 30,
1995, shall be distributed to all state mental health institutions
under IC 12-24-1-3 that qualify under either section 1(a)(1) or
1(a)(2) of this chapter. The funds in the pool must be distributed
to each qualifying institution in proportion to each institution's
low income utilization rate, as determined based on the most
recent data on file with the office.
(d) This subsection does not apply during the period that the office
is assessing a hospital fee authorized by IC 16-21-10. Disproportionate
share payments described in this section shall be made on an interim
basis throughout the year, as provided by the office.