2018 Session

Budget Amendments - HB30 (Committee Approved)

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Indirect Medical Education Payments to Children's National Health System (language only)

Item 303 #9h

Item 303 #9h

Health and Human Resources
Department of Medical Assistance Services


Page 278, after line 4, insert:

“PPP. Effective July 1, 2018, the Department of Medical Assistance Services shall amend the State Plan for Medical Assistance to make the following changes: eliminate eligibility for Disproportionate Share Hospital (DSH) payments for Children's National Medical Center (CNMC) while increasing the annual indirect medical education (IME) payments for CNMC by the amount of DSH the hospital was eligible for in FY 2018 and reducing the Type 2 DSH allocation by this same amount.  The department shall have the authority to implement these changes effective July 1, 2018, and prior to completion of any regulatory action to effect such change.”


(This amendment directs the Department of Medical Assistance Services to provide payments to Children's National Medical Center through Medicaid Indirect Medical Education (IME) payments to children’s hospitals in lieu of Disproportionate Share Hospital (DSH) payments that the hospital would have received in fiscal year 2018. This language allows Children’s National Medical Center to maintain their overall funding level from the Commonwealth.)