2014 Special Session I

Budget Amendments - HB5002 (Floor Approved)

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Modify DSH Funding Formula (language only)

Item 301 #13h

Item 301 #13h

Health and Human Resources
Medical Assistance Services, Department of

Page 262, line 51, strike "Eligible DSH days for out of".
Page 262, strike lines 52 through 54.
Page 263, after line 1, insert:
e)  Final Type Two DSH eligible days will be calculated by:
a.  Calculating total non-Medicaid days for DSH qualifying hospitals.
b.  A utilization percentage will be calculated by dividing the hospital’s non-Medicaid days by the total of Type Two hospital qualifying DSH non-Medicaid days.
c. The final DSH eligible days will be determined by multiplying the eligible Medicaid DSH days times one minus the utilization factor calculated in paragraph b)".
Page 263, line 2, strike "e)" and insert "f)".

(This amendment makes technical adjustments to language included in the introduced budget related to Medicaid disproportionate share hospital (DSH) payments. The proposed language amendment is designed to a) ensure that only out-of-state hospitals who provide a significant volume of care to Virginia Medicaid recipients qualify for DSH payments and b) include a low-volume adjustment to recognize the special challenges smaller, rural hospitals face in managing Medicaid and indigent care shortfalls.)