§ 40-8.3-7. Outpatient adjustment payments for fiscal year 2010.
Effective July 1, 2009, the department of human services is hereby authorized and
directed to amend its regulations and the Rhode Island State Plan for Medical Assistance
pursuant to Title XIX of the Social Security Act for reimbursement to hospitals for
outpatient services as follows:
Hospitals — Outpatient adjustment payments.
(a) Each hospital in the state of Rhode Island, as defined in § 23-17-38.1, shall receive a quarterly adjustment payment during state fiscal year 2010 of an
amount determined as follows:
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§ 40-8.3-7. Outpatient adjustment payments for fiscal year 2010.
Effective July 1, 2009, the department of human services is hereby authorized and
directed to amend its regulations and the Rhode Island State Plan for Medical Assistance
pursuant to Title XIX of the Social Security Act for reimbursement to hospitals for
outpatient services as follows:
Hospitals — Outpatient adjustment payments.
(a) Each hospital in the state of Rhode Island, as defined in § 23-17-38.1, shall receive a quarterly adjustment payment during state fiscal year 2010 of an
amount determined as follows:
(1) Determine the percent of the state's total Medicaid outpatient and emergency department
services (exclusive of physician services) provided by each hospital during the hospital's
fiscal year ending during 2008;
(2) Determine the sum of all Medicaid payments to hospitals made for outpatient and emergency
department services (exclusive of physician services) provided during each hospital's
fiscal year ending during 2008;
(3) Multiply the sum of all Medicaid payments as determined in subsection (a)(2) by seventy-seven
and forty-one hundredths percent (77.41%) and then multiply that result by each hospital's
percentage of the state's total Medicaid outpatient and emergency department services
as determined in subsection (a)(1) to obtain the total outpatient adjustment for each
hospital to be paid in SFY 2010;
(4) Pay each hospital on or about July 20, 2009, October 20, 2009, January 20, 2010, and
April 20, 2010, one-quarter (.25) of its total outpatient adjustment as determined
in subsection (a)(3).
(b) The amounts determined in subsection (a) are in addition to Medicaid outpatient payments
and emergency services payments (exclusive of physician services) paid to hospitals
in accordance with current state regulation and the Rhode Island Plan for Medicaid
Assistance pursuant to Title XIX of the Social Security Act and are not subject to
recoupment or settlement.