Enhanced rates to medicaid managed care health plans

HRS §346F-10, under Chapter 346F.

HRS §346F-10

§346F-10 Enhanced rates to medicaid managed care health plans. (a) In accordance with title 42 Code of Federal Regulations part 438, the department shall use revenues from the nursing facility sustainability fee and federal matching funds to enhance the capitated rates paid to medicaid managed care health plans consistent with the following objectives:

(b) If federal approval pursuant to section 346F-7 is not received until after the end of any month for which the nursing facility sustainability fee is applicable, the department shall make the initial monthly payments within five days after receipt of the nursing facility sustainability fee for the respective month.

(c) To the extent the nursing facility sustainability program is not effective for the entire year, the nursing facility sustainability fee, the state medicaid expenses and administrative fee, and the corresponding payments to fulfill the requirements of section 346F-4(c) shall be based on the proportion of the fiscal year the program is in effect. [L 2012, c 156, pt of §2, §5; am L 2013, c 142, §§2(3), 3; am L 2014, c 124, §§1(2), 2; am L 2015, c 69, §§1(3), 2; am L 2016, c 59, §§1(2), 2; am L 2017, c 60, §§3, 5; am L 2019, c 163, §§4, 6; am L 2021, c 24, §§5, 7; am L 2023, c 109, §§10, 13]