Indiana § 12-15-16-7.3 Disproportionate share payments during state directed payment
program in effect; state plan amendment for payments; state mental
health institutions

Indiana Statutes

§ 12-15-16-7.3 — Disproportionate share payments during state directed payment program in effect; state plan amendment for payments; state mental health institutions

Indiana § 12-15-16-7.3

Art. 15MEDICAID

Ch. 16Disproportionate Share Providers; Eligibility

This text of Indiana § 12-15-16-7.3 (Disproportionate share payments during state directed payment program in effect; state plan amendment for payments; state mental health institutions) 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.

Bluebook

Ind. Code § 12-15-16-7.3 (2026).

Text

3.

(a)This section applies to disproportionate share payments for any state fiscal year during which the state directed payment program under IC 16-21-10-8.5 is in effect.

(b)The office may develop and implement a Medicaid state plan amendment that provides Medicaid disproportionate share payments for state mental health institutions under IC 12-24-1-3 that qualify as a disproportionate share provider under section 1(a) of this chapter.

(c)The office shall develop and implement a Medicaid state plan amendment that provides Medicaid disproportionate share payments for hospitals pursuant to the following STEPS: STEP ONE: Each acute care hospital licensed under IC 16-21 that qualifies as a disproportionate share provider under section 1(a) of this chapter, including acute care hospitals li

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3. (a) This section applies to
disproportionate share payments for any state fiscal year during which
the state directed payment program under IC 16-21-10-8.5 is in effect.
(b) The office may develop and implement a Medicaid state plan
amendment that provides Medicaid disproportionate share payments
for state mental health institutions under IC 12-24-1-3 that qualify as
a disproportionate share provider under section 1(a) of this chapter.
(c) The office shall develop and implement a Medicaid state plan
amendment that provides Medicaid disproportionate share payments
for hospitals pursuant to the following STEPS:
STEP ONE: Each acute care hospital licensed under IC 16-21 that
qualifies as a disproportionate share provider under section 1(a)
of this chapter, including acute care hospitals licensed under IC 16-21 and established and operated under IC 16-22-2, IC 16-22-8,
or IC 16-23 that qualify as a disproportionate share provider
under section 1(a) of this chapter, shall be paid a disproportionate
share payment for the state fiscal year in the amount of one
thousand dollars ($1,000).
STEP TWO: Of the state's disproportionate share payment
allotment under 42 CFR 447.297 that remains for the state fiscal
year following STEP ONE, and any applicable payments under
subsection (b), disproportionate share payments shall be paid to
municipal disproportionate share providers described in section
1(b) of this chapter, and to acute care hospitals licensed under IC 16-21 and established and operated under IC 16-22-8 that qualify
as a disproportionate share provider under section 1(a) of this
chapter, that fund the state's share of their disproportionate share
payment for the state fiscal year through an intergovernmental
transfer. Subject to subsection (d), each hospital's payment shall
be an amount equal to its hospital specific limit for the state fiscal
year calculated pursuant to 42 U.S.C. 1396r-4(g).
(d) If the total disproportionate share payments under STEP TWO
of subsection (c) for a state fiscal year would be greater than the state's
disproportionate share payment allotment under 42 CFR 447.297 that
remains following STEP ONE of subsection (c), and any applicable
payments under subsection (b), the disproportionate share payments to
each hospital eligible under STEP TWO shall be made on a pro rata
basis, based on each hospital's hospital specific limit in relation to the
remaining disproportionate share payment allotment.