Section 25: Medicaid Hospital Pay For Performance
Allows for higher Medicaid reimbursement rates to hospitals that meet certain quality standards and performance benchmarks.
Allows for higher Medicaid reimbursement rates to hospitals that meet certain quality standards and performance benchmarks.
Provides for the definitions used in the statute establishing the Health Safety Net program.
Establishes the Health Safety Net Office which administers the Health Safety Net program and the Health Safety Net Trust Fund.
Establishes the Health Safety Net Trust Fund.
Sets out provisions to determine an acute hospital's payments to the Health Safety Net Trust Fund and mechanisms to enforce the liability.
Sets out provisions to determine acute hospital and ambulatory surgical center surcharge payments to the Health Safety Net Trust Fund.
Establishes provisions governing payments from the Health Safety Net Trust Fund to acute hospitals and community health centers.
Sets out provisions to determine an acute hospital's annual assessment to cover a portion of estimated expenses of the Division of Health Care Finance and Policy and the Health Safety Net office.
Requires hospitals to conduct uniform reports to the Division of Health Care Finance and Policy, which must include the names and addresses of employers whose employees receive free care at the hospitals. Amended in 2010 to also require public and private insurance providers to submit to the Division of Health Care Finance and Policy an explanation of charges and costs associated with group and individual insurance plans.
Establishes hospital and surcharge payer liability and hospital payments for the Uncompensated Care pool for fiscal year 2007.
Prohibits changes to Uncompensated Care Pool reimbursable services regulations.
Repeals the moratorium on changes to Uncompensated Care Pool regulations, effective October 1, 2007.
Allows hospitals to receive rate increases in 2007 before meeting quality standards.