Private hospital payments through enhanced payments to medicaid managed care health plans

HRS §346G-10, under Chapter 346G.

HRS §346G-10

§346G-10 Private hospital payments through enhanced payments to medicaid managed care health plans. (a) The department shall use moneys from the hospital sustainability program special fund solely to fulfill the requirements of section 346G-4(c).

(b) In accordance with title 42 Code of Federal Regulations part 438, the department shall use revenues from the hospital sustainability fee and federal matching funds to enhance payments to medicaid managed care health plans, consistent with the following objectives:

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

(d) To the extent the hospital sustainability program is not effective for the entire year, the hospital sustainability fee, the state medicaid expenses and administrative fee, and the corresponding payments to fulfill the requirements of section 346G-4(c) shall be based on the proportion of the fiscal year the program is in effect. [L 2012, c 217, pt of §2, §5; am L 2013, c 141, pt of §1, §2; am L 2014, c 123, §§1(3), (4), 2; am L 2015, c 70, §§1(5), 2; am L 2016, c 60, §§2(5), 3; am L 2017, c 59, §§4, 5; am L 2018, c 18, §22; am L 2019, c 173, §§4, 6; am L 2021, c 38, §§5, 7; am L 2023, c 110, §§9, 11]