2023 Session

Budget Amendments - SB800 (Member Request)

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Chief Patron: Hanger
Private Hospital Medicaid Supplemental Payment Program (language only)

Item 304 #10s

Item 304 #10s

Health and Human Resources
Department of Medical Assistance Services


Page 369, after line 39, insert:

"c.  The department shall have the authority to implement these reimbursement changes effective July 1, 2023, and consistent with the effective date in the State Plan amendment or the managed care contracts approved by the Centers for Medicare and Medicaid Services (CMS) and prior to completion of any regulatory process in order to effect such changes. No payment shall be made without approval from CMS. As part of the Interagency Agreements the department shall require the public entities to attest to compliance with applicable CMS criteria. The department shall also require any private hospital and related health systems receiving payments under this item to attest to compliance with applicable CMS criteria and agree that the department will recover the federal share of a disallowance relating to their payments by the most timely and efficient means available. In addition, the non-federal share of the agency's administrative costs directly related to administration of the programs authorized in this paragraph, including staff and contractors, shall be funded by participating public entities.

d. The purposes to which the additional payments authorized by this item shall be applied, include: i) sustaining and enhancing access to outpatient care for Medicaid recipients; ii) stabilizing and supporting critical healthcare workforce needs; and iii) advancing the department's overall quality improvement goals. The department, with the assistance of the participating organizations, shall report to the chairs of the Senate Finance and Appropriations and House Appropriations Committees by December 1 of each year on the impact of this initiative."


(This amendment directs the Department of Medical Assistance Services to implement a Private Hospital Medicaid Supplemental Payment Program on July 1, 2023.)