Intergovernmental Transfers to the Medicaid Agency

(a) Publicly owned and state-owned hospitals shall make intergovernmental transfers to the Alabama Medicaid Agency. Total IGTs shall equal the amount of state funds necessary for the agency to obtain only those federal matching funds necessary to pay publicly owned and state-owned hospitals for hospital payments. (b) These intergovernmental transfers shall be made in compliance with 42 U.S.C. § 1396b(w). (c) If a publicly or state-owned hospital commences operations after October 1, 2013, the hospital shall commence making intergovernmental transfers to the Alabama Medicaid Agency in the first full month of operation of the hospital after October 1, 2013. (Act 2013-246, p. 595, §2; Act 2016-299, p. 749, §1; Act 2017-382, §1; Act 2018-543, §1; Act 2019-278, §1; Act 2022-127, §1; Act 2025-371, §1; Act 2026-391, §1.)