2018 Session

Budget Amendments - SB30 (Floor Approved)

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Incentive Plan to Redirect Temporary Detention Orders to Private Hospitals (language only)

Item 300 #2s

Item 300 #2s

Health and Human Resources
Department of Medical Assistance Services


Page 256, after line 35, insert:

"D.  The Department of Medical Assistance Services shall develop a methodology for a payment incentive for hospitals providing medical services for individuals subject to temporary detention orders (TDOs).  The methodology shall use FY 2013 as the base year for the number of TDOs provided by each hospital.  Beginning July 1, 2019, hospitals for which the total number of TDOs served has increased in the prior fiscal year, at the same overall rate as TDOs statewide as compared to the base year, shall be reimbursed 20 percent higher than that standard rates for TDOs.  For those hospitals that are serving less TDOs than in FY 2013 or the total number served has increased less than 50 percent as compared to the overall increase statewide, the department shall reduce the Disproportionate Share Hospital payments for that hospital, if eligible for such payments, by 50 percent.  The department shall report on the details and other implications of this incentive program to the Chairmen of the House Appropriations and Senate Finance Committees by September 1, 2018."


(This amendment directs the Department of Medical Assistance Services to develop an incentive program to increase reimbursement for hospitals that are serving more temporary detention orders and likewise to reduce reimbursement if the hospital's share has not kept pace with the statewide growth. This program is intended to assist in reducing pressure on the state mental health hospitals.)