Conditions for payments

Act 21 of 1967, § 813-G, under HUMAN SERVICES CODE.

Act 21 of 1967, § 813-G

Section 813-G. Conditions for payments.

The department shall not be required to make payments as specified in section 443.1(1.1), (1.2), (1.3) and (1.4) and a covered hospital shall not be required to pay the Quality Care Assessment as specified in section 804-G(b) unless all of the following have occurred:

(1) The department receives Federal approval of a waiver under 42 CFR 433.68(e) (relating to permissible health care-related taxes) authorizing the department to implement the Quality Care Assessment as specified in this article.

(2) The department receives Federal approval of a State plan amendment authorizing the changes to its payment methods and standards specified in section 443.1(1.1)(ii).

(3) The department receives Federal approval of amendments to its medical assistance managed care organization contracts authorizing adjustments to its capitation payments funded in accordance with section 805-G.

(813-G reenacted and amended July 9, 2013, P.L.369, No.55)

Compiler's Note: See the preamble to Act 55 of 2013 in the appendix to this act for special provisions relating to legislative findings and declarations.