(a)  For federal fiscal year 2022, commencing on October 1, 2021, and ending September 30, 2022, the executive office of health and human services shall submit to the Secretary of the United States Department of Health and Human Services a state plan amendment to the Rhode Island Medicaid DSH Plan to provide:

(1)  That the DSH Plan to all participating hospitals, not to exceed an aggregate limit of $145.1 million, shall be allocated by the executive office of health and human services to the Pool D component of the DSH Plan; and

(2)  That the Pool D allotment shall be distributed among the participating hospitals in direct proportion to the individual participating hospital‘s uncompensated-care costs for the base year, inflated by the uncompensated-care index to the total uncompensated-care costs for the base year inflated by the uncompensated-care index for all participating hospitals. The disproportionate share payments shall be made on or before June 30, 2022, and are expressly conditioned upon approval on or before July 5, 2022, by the Secretary of the United States Department of Health and Human Services, or his or her authorized representative, of all Medicaid state plan amendments necessary to secure for the state the benefit of federal financial participation in federal fiscal year 2022 for the disproportionate share payments.

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Terms Used In Rhode Island General Laws 40-8.3-3

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Base year: means , for the purpose of calculating a disproportionate share payment for any fiscal year ending after September 30, 2022, the period from October 1, 2020, through September 30, 2021, and for any fiscal year ending after September 30, 2023, the period from October 1, 2021, through September 30, 2022. See Rhode Island General Laws 40-8.3-2
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Participating hospital: means any nongovernment and nonpsychiatric hospital that:

    (i)  Was licensed as a hospital in accordance with chapter 17 of Title 23 during the base year and shall mean the actual facilities and buildings in existence in Rhode Island, licensed pursuant to § 23-17-1 et seq. See Rhode Island General Laws 40-8.3-2

  • Uncompensated-care costs: means , as to any hospital, the sum of: (i) The cost incurred by the hospital during the base year for inpatient or outpatient services attributable to charity care (free care and bad debts) for which the patient has no health insurance or other third-party coverage less payments, if any, received directly from such patients; and (ii) The cost incurred by the hospital during the base year for inpatient or outpatient services attributable to Medicaid beneficiaries less any Medicaid reimbursement received therefor; multiplied by the uncompensated-care index. See Rhode Island General Laws 40-8.3-2
  • Uncompensated-care index: means the annual percentage increase for hospitals established pursuant to § 27-19-14 [repealed] for each year after the base year, up to and including the payment year; provided, however, that the uncompensated-care index for the payment year ending September 30, 2007, shall be deemed to be five and thirty-eight hundredths percent (5. See Rhode Island General Laws 40-8.3-2
  • United States: include the several states and the territories of the United States. See Rhode Island General Laws 43-3-8

(b)  For federal fiscal year 2023, commencing on October 1, 2022, and ending September 30, 2023, the executive office of health and human services shall submit to the Secretary of the United States Department of Health and Human Services a state plan amendment to the Rhode Island Medicaid DSH Plan to provide:

(1)  That the DSH Plan to all participating hospitals, not to exceed an aggregate limit of $159.0 million, shall be allocated by the executive office of health and human services to the Pool D component of the DSH Plan; and

(2)  That the Pool D allotment shall be distributed among the participating hospitals in direct proportion to the individual participating hospital’s uncompensated-care costs for the base year, inflated by the uncompensated-care index to the total uncompensated-care costs for the base year inflated by the uncompensated-care index for all participating hospitals. The disproportionate share payments shall be made on or before June 15, 2023, and are expressly conditioned upon approval on or before June 23, 2023, by the Secretary of the United States Department of Health and Human Services, or his or her authorized representative, of all Medicaid state plan amendments necessary to secure for the state the benefit of federal financial participation in federal fiscal year 2023 for the disproportionate share payments.

(c)  For federal fiscal year 2024, commencing on October 1, 2023, and ending September 30, 2024, the executive office of health and human services shall submit to the Secretary of the United States Department of Health and Human Services a state plan amendment to the Rhode Island Medicaid DSH Plan to provide:

(1)  That the DSH Plan to all participating hospitals, not to exceed an aggregate limit of $14.8 million, shall be allocated by the executive office of health and human services to the Pool D component of the DSH Plan; and

(2)  That the Pool D allotment shall be distributed among the participating hospitals in direct proportion to the individual participating hospital’s uncompensated-care costs for the base year, inflated by the uncompensated-care index to the total uncompensated-care costs for the base year inflated by the uncompensated-care index for all participating hospitals. The disproportionate share payments shall be made on or before June 15, 2024, and are expressly conditioned upon approval on or before June 23, 2024, by the Secretary of the United States Department of Health and Human Services, or his or her authorized representative, of all Medicaid state plan amendments necessary to secure for the state the benefit of federal financial participation in federal fiscal year 2024 for the disproportionate share payments.

(d)  No provision is made pursuant to this chapter for disproportionate-share hospital payments to participating hospitals for uncompensated-care costs related to graduate medical education programs.

(e)  The executive office of health and human services is directed, on at least a monthly basis, to collect patient-level uninsured information, including, but not limited to, demographics, services rendered, and reason for uninsured status from all hospitals licensed in Rhode Island.

(f)  [Deleted by P.L. 2019, ch. 88, art. 13, § 6.]

History of Section.
P.L. 1996, ch. 100, art. 42, § 1; P.L. 1997, ch. 30, art. 21, § 1; P.L. 1998, ch. 31, art. 7, § 1; P.L. 1999, ch. 31, art. 15, § 1; P.L. 2000, ch. 55, art. 16, § 1; P.L. 2001, ch. 77, art. 25, § 1; P.L. 2002, ch. 65, art. 21, § 1; P.L. 2003, ch. 376, art. 19, § 1; P.L. 2004, ch. 595, art. 9, § 1; P.L. 2005, ch. 117, art. 9, § 1; P.L. 2006, ch. 246, art. 13, § 1; P.L. 2007, ch. 73, art. 19, § 1; P.L. 2008, ch. 100, art. 19, § 1; P.L. 2009, ch. 68, art. 19, § 1; P.L. 2010, ch. 23, art. 15, § 1; P.L. 2011, ch. 151, art. 18, § 1; P.L. 2012, ch. 241, art. 15, § 1; P.L. 2013, ch. 144, art. 12, § 1; P.L. 2014, ch. 145, art. 17, § 1; P.L. 2015, ch. 141, art. 5, § 14; P.L. 2016, ch. 142, art. 7, § 3; P.L. 2017, ch. 302, art. 9, § 3; P.L. 2018, ch. 47, art. 13, § 2; P.L. 2019, ch. 88, art. 13, § 6; P.L. 2021, ch. 162, art. 12, § 3, effective July 1, 2021; P.L. 2022, ch. 231, art. 12, § 3, effective July 1, 2022; P.L. 2023, ch. 79, art. 9, § 5, effective June 16, 2023.