reglab/housing_qa huggingface dataset:
IN Code § 12-15-16-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 16. Disproportionate Share Providers; Eligibility|12-15-16-1. Disproportionate Share Provider Status

Sec. 1. (a) A provider that is an acute care hospital licensed under IC 16-21, a state mental health institution under IC 12-24-1-3, or a private psychiatric institution licensed under IC 12-25 is a disproportionate share provider if the provider meets either of the following conditions:(1) The provider's Medicaid inpatient utilization rate is at least one (1) standard deviation above the mean Medicaid inpatient utilization rate for providers receiving Medicaid payments in Indiana. However, the Medicaid inpatient utilization rate of providers whose low income utilization rate exceeds twenty-five percent (25%) must be excluded in calculating the statewide mean Medicaid inpatient utilization rate.(2) The provider's low income utilization rate exceeds twenty-five percent (25%).(b) An acute care hospital licensed under IC 16-21 is a municipal disproportionate share provider if the hospital:(1) has a Medicaid utilization rate greater than one percent (1%); and(2) is established and operated under IC 16-22-2 or IC 16-23.(c) A community mental health center:(1) that is identified in IC 12-29-2-1;(2) for which a county provides funds under:(A) IC 12-29-1-7(b) before January 1, 2004; or(B) IC 12-29-2 after December 31, 2018;or from other county sources; and(3) that provides inpatient services to Medicaid patients;is a community mental health center disproportionate share provider if the community mental health center's Medicaid inpatient utilization rate is greater than one percent (1%).(d) A disproportionate share provider under IC 12-15-17 must have at least two (2) obstetricians who have staff privileges and who have agreed to provide obstetric services under the Medicaid program. For a hospital located in a rural area (as defined in Section 1886 of the Social Security Act), an obstetrician includes a physician with staff privileges at the hospital who has agreed to perform nonemergency obstetric procedures. However, this obstetric service requirement does not apply to a provider whose inpatients are predominantly individuals less than eighteen (18) years of age or that did not offer nonemergency obstetric services as of December 21, 1987.(e) The determination of a provider's status as a disproportionate share provider under this section shall be based on utilization and revenue data from the most recent year for which an audited cost report from the provider is on file with the office.[Pre-1992 Revision Citation: 12-1-7-60(a).]As added by P.L.2-1992, SEC.9. Amended by P.L.27-1992, SEC.12; P.L.277-1993(ss), SEC.71; P.L.126-1998, SEC.6; P.L.113-2000, SEC.5; P.L.78-2004, SEC.8; P.L.123-2008, SEC.1; P.L.76-2018, SEC.2.
IN Code § 12-15-16-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 16. Disproportionate Share Providers; Eligibility|12-15-16-2. Inpatient Utilization Rate

Sec. 2. (a) For purposes of disproportionate share eligibility, a provider's Medicaid inpatient utilization rate is a fraction (expressed as a percentage) where:(1) the numerator is the provider's total number of Medicaid inpatient days in the most recent year for which an audited cost report is on file with the office; and(2) the denominator is the total number of the provider's inpatient days in the most recent year for which an audited cost report is on file with the office.(b) For purposes of this section, "Medicaid inpatient days" includes all acute care days attributable to individuals eligible for Medicaid benefits under a state plan approved under 42 U.S.C. 1396a on the days of service:(1) whether attributable to individuals eligible for Medicaid in Indiana or any other state;(2) even if the office did not make payment for any services, including inpatient days that are determined to be medically necessary but for which payment is denied by the office for other reasons; and(3) including days attributable to Medicaid beneficiaries receiving services through a managed care organization or health maintenance organization.[Pre-1992 Revision Citation: 12-1-7-60(b).]As added by P.L.2-1992, SEC.9. Amended by P.L.277-1993(ss), SEC.72; P.L.156-1995, SEC.2; P.L.126-1998, SEC.7; P.L.113-2000, SEC.6; P.L.283-2001, SEC.22; P.L.153-2011, SEC.18.
IN Code § 12-15-16-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 16. Disproportionate Share Providers; Eligibility|12-15-16-3. Low Income Utilization Rate; Contractual Allowances and Discounts

Sec. 3. (a) For purposes of disproportionate share eligibility, a provider's low income utilization rate is the sum of the following, based on the most recent year for which an audited cost report is on file with the office:(1) A fraction (expressed as a percentage) for which:(A) the numerator is the sum of:(i) the total Medicaid patient revenues paid to the provider; plus(ii) the amount of the cash subsidies received directly from state and local governments, including payments made under the hospital care for the indigent program (IC 12-16-2) (before its repeal) and IC 12-16-2.5; and(B) the denominator is the total amount of the provider's patient revenues paid to the provider, including cash subsidies; and(2) A fraction (expressed as a percentage) for which:(A) the numerator is the total amount of the provider's charges for inpatient services that are attributable to care provided to individuals who have no source of payment; and(B) the denominator is the total amount of charges for inpatient services.(b) The numerator in subsection (a)(1)(A) does not include contractual allowances and discounts other than for indigent patients not eligible for Medicaid.[Pre-1992 Revision Citation: 12-1-7-60(c).]As added by P.L.2-1992, SEC.9. Amended by P.L.277-1993(ss), SEC.73; P.L.113-2000, SEC.7; P.L.283-2001, SEC.23; P.L.120-2002, SEC.16.
IN Code § 12-15-16-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 16. Disproportionate Share Providers; Eligibility|12-15-16-5. Implementation; Federal Health Care Financing Administration Approval; Percentage Reduction of Payments to Medicaid Indigent Care Trust Fund

Sec. 5. (a) The office may not implement this chapter, IC 12-15-17, IC 12-15-18, IC 12-15-19, or IC 12-15-20 until the federal Centers for Medicare and Medicaid Services has issued its approval of the amended state plan for medical assistance.(b) The office may determine not to continue to implement this chapter, IC 12-15-17, IC 12-15-18, IC 12-15-19, and IC 12-15-20 if federal financial participation is not available.(c) If federal financial participation is approved for less than all of the amounts paid into the Medicaid indigent care trust fund with respect to a fiscal year, the office may reduce payments attributable to that fiscal year under IC 12-15-19-1 by a percentage sufficient to compensate for the aggregate reduction in federal financial participation. If additional federal financial participation is subsequently approved with respect to payments into the Medicaid indigent care trust fund for the same fiscal year, the office shall distribute such amounts using the percentage that was used to compensate for the prior reduction in federal financial participation.[Pre-1992 Revision Citation: P.L.112-1991, SEC.7(b), (c), (d).]As added by P.L.2-1992, SEC.9. Amended by P.L.277-1993(ss), SEC.74; P.L.156-1995, SEC.3; P.L.126-1998, SEC.8; P.L.66-2002, SEC.7.
IN Code § 12-15-17-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 17. Disproportionate Share Providers; Disproportionate Share Payments|12-15-17-1. Providers Servicing Disproportionate Share of Medicaid Recipients and Low Income Patients; Basic Rate; Minimum Medicaid Inpatient Utilization Rate Required

Sec. 1. A disproportionate share payment shall be made to:(1) a hospital licensed under IC 16-21;(2) a state mental health institution under IC 12-24-1-3; and(3) a private psychiatric institution licensed under IC 12-25;that serves a disproportionate share of Medicaid recipients and other low income patients as determined under IC 12-15-16-1. However, a provider may not be defined as a disproportionate share provider under IC 12-15-16-1 unless the provider has a Medicaid inpatient utilization rate (as defined in 42 U.S.C. 1396r-4(b)(2)) of at least one percent (1%). Subdivisions (2) and (3) do not apply during the period that the office is assessing a hospital fee authorized by IC 16-21-10.[Pre-1992 Revision Citation: 12-1-7-17.6(d).]As added by P.L.2-1992, SEC.9. Amended by P.L.27-1992, SEC.13; P.L.2-1993, SEC.97; P.L.277-1993(ss), SEC.76; P.L.1-1994, SEC.60; P.L.156-1995, SEC.5; P.L.113-2000, SEC.9; P.L.229-2011, SEC.135; P.L.205-2013, SEC.198.
IN Code § 12-15-18-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 18. Disproportionate Share Providers; Assessments|12-15-18-2. "Hospital" Defined

Sec. 2. (a) As used in this chapter, "hospital" has the meaning set forth in IC 16-18-2-179(b).(b) The term does not include a state institution or a private psychiatric institution.[Pre-1992 Revision Citation: 12-1-7-17.7(a)(2).]As added by P.L.2-1992, SEC.9. Amended by P.L.2-1993, SEC.98.
IN Code § 12-15-18-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 18. Disproportionate Share Providers; Assessments|12-15-18-3. "Private Psychiatric Institution" Defined

Sec. 3. As used in this chapter, "private psychiatric institution" means an acute care inpatient facility licensed under IC 12-25, for the treatment of individuals with mental illness.[Pre-1992 Revision Citation: 12-1-7-17.7(a)(4).]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-18-3.5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 18. Disproportionate Share Providers; Assessments|12-15-18-3.5. "Trustees" Defined

Sec. 3.5. As used in this chapter, "trustees" refers to the trustees of Indiana University.As added by P.L.27-1992, SEC.15.
IN Code § 12-15-18-5.1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 18. Disproportionate Share Providers; Assessments|12-15-18-5.1. Intergovernmental Transfers for State Fiscal Years Ending on or After June 30, 1998; Coordination of Transfers; Transfers by Municipal Disproportionate Share Providers; Certification by County

Sec. 5.1. (a) For state fiscal years ending on or after June 30, 1998, the trustees and each municipal health and hospital corporation established under IC 16-22-8-6 are authorized to make intergovernmental transfers to the Medicaid indigent care trust fund in amounts to be determined jointly by the office and the trustees, and the office and each municipal health and hospital corporation.(b) The treasurer of state shall annually transfer from appropriations made for the division of mental health and addiction sufficient money to provide the state's share of payments under IC 12-15-16-6(c)(2).(c) The office shall coordinate the transfers from the trustees and each municipal health and hospital corporation established under IC 16-22-8-6 so that the aggregate intergovernmental transfers, when combined with federal matching funds:(1) produce payments to each hospital licensed under IC 16-21 that qualifies as a disproportionate share provider under IC 12-15-16-1(a); and(2) both individually and in the aggregate do not exceed limits prescribed by the federal Centers for Medicare and Medicaid Services.The trustees and a municipal health and hospital corporation are not required to make intergovernmental transfers under this section. The trustees and a municipal health and hospital corporation may make additional transfers to the Medicaid indigent care trust fund to the extent necessary to make additional payments from the Medicaid indigent care trust fund apply to a prior federal fiscal year as provided in IC 12-15-19-1(b).(d) A municipal disproportionate share provider (as defined in IC 12-15-16-1) shall transfer to the Medicaid indigent care trust fund an amount determined jointly by the office and the municipal disproportionate share provider. A municipal disproportionate share provider is not required to make intergovernmental transfers under this section. A municipal disproportionate share provider may make additional transfers to the Medicaid indigent care trust fund to the extent necessary to make additional payments from the Medicaid indigent care trust fund apply to a prior federal fiscal year as provided in IC 12-15-19-1(b).(e) A county making a payment under:(1) IC 12-29-1-7(b) before January 1, 2004; or(2) IC 12-29-2 after December 31, 2018;or from other county sources to a community mental health center qualifying as a community mental health center disproportionate share provider shall certify that the payment represents expenditures that are eligible for federal financial participation under 42 U.S.C. 1396b(w)(6)(A) and 42 CFR 433.51. The office shall assist a county in making this certification.As added by P.L.126-1998, SEC.10. Amended by P.L.113-2000, SEC.10; P.L.215-2001, SEC.44; P.L.66-2002, SEC.8; P.L.78-2004, SEC.9; P.L.123-2008, SEC.2; P.L.76-2018, SEC.3.
IN Code § 12-15-19-2.1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 19. Disproportionate Share Providers; Enhanced Disproportionate Share Payments|12-15-19-2.1. Disproportionate Share Payment Methodology for State Fiscal Years Ending on or After June 30, 2000; Limits on Total Disproportionate Share Payments to Hospitals

Sec. 2.1. (a) This section does not apply during the period that the office is assessing a hospital fee authorized by IC 16-21-10. For each state fiscal year ending on or after June 30, 2000, the office shall develop a disproportionate share payment methodology that ensures that each hospital qualifying for disproportionate share payments under IC 12-15-16-1(a) timely receives total disproportionate share payments that do not exceed the hospital's hospital specific limit provided under 42 U.S.C. 1396r-4(g). The payment methodology as developed by the office must:(1) maximize disproportionate share hospital payments to qualifying hospitals to the extent practicable;(2) take into account the situation of those qualifying hospitals that have historically qualified for Medicaid disproportionate share payments; and(3) ensure that payments for qualifying hospitals are equitable.(b) Total disproportionate share payments to a hospital under this chapter shall not exceed the hospital specific limit provided under 42 U.S.C. 1396r-4(g). The hospital specific limit for a state fiscal year shall be determined by the office taking into account data provided by each hospital that is considered reliable by the office based on a system of periodic audits, the use of trending factors, and an appropriate base year determined by the office. The office may require independent certification of data provided by a hospital to determine the hospital's hospital specific limit.(c) The office shall include a provision in each amendment to the state plan regarding Medicaid disproportionate share payments that the office submits to the federal Centers for Medicare and Medicaid Services that, as provided in 42 CFR 447.297(d)(3), allows the state to make additional disproportionate share expenditures after the end of each federal fiscal year that relate back to a prior federal fiscal year. However, the total disproportionate share payments to:(1) each individual hospital; and(2) all qualifying hospitals in the aggregate;may not exceed the limits provided by federal law and regulation.As added by P.L.113-2000, SEC.12. Amended by P.L.283-2001, SEC.24; P.L.66-2002, SEC.10; P.L.212-2007, SEC.8; P.L.218-2007, SEC.18; P.L.229-2011, SEC.136; P.L.205-2013, SEC.199.
IN Code § 12-15-19-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 19. Disproportionate Share Providers; Enhanced Disproportionate Share Payments|12-15-19-5. Federal Financial Participation Unavailable; Withholding Disproportionate Share Payment Adjustments

Sec. 5. Except as provided in section 6 of this chapter, disproportionate share payment adjustments under this chapter may not be withheld by the office unless federal financial participation becomes unavailable to match state money for the purpose of providing disproportionate share payment adjustments.[Pre-1992 Revision Citation: 12-1-7-17.8(d).]As added by P.L.2-1992, SEC.9. Amended by P.L.27-1992, SEC.21; P.L.113-2000, SEC.13.
IN Code § 12-15-19-6 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 19. Disproportionate Share Providers; Enhanced Disproportionate Share Payments|12-15-19-6. Deposits in Fund; Insufficiency; Suspension or Reduction of Payments to Eligible Institutions

Sec. 6. (a) This section does not apply during the period that the office is assessing a hospital fee authorized by IC 16-21-10. The office is not required to make disproportionate share payments under this chapter from the Medicaid indigent care trust fund established by IC 12-15-20-1 until the fund has received sufficient deposits, including intergovernmental transfers of funds and certifications of expenditures, to permit the office to make the state's share of the required disproportionate share payments.(b) For state fiscal years beginning after June 30, 2006, if:(1) sufficient deposits have not been received; or(2) the statewide Medicaid disproportionate share allocation is insufficient to provide federal financial participation for the entirety of all eligible disproportionate share hospitals' hospital-specific limits;the office shall reduce disproportionate share payments made under IC 12-15-19-2.1 and Medicaid safety-net payments made in accordance with the Medicaid state plan to eligible institutions using an equitable methodology consistent with subsection (c).(c) For state fiscal years beginning after June 30, 2006, payments reduced under this section shall, in accordance with the Medicaid state plan, be made:(1) to best utilize federal matching funds available for hospitals eligible for Medicaid disproportionate share payments under IC 12-15-19-2.1; and(2) by utilizing a methodology that allocates available funding under this subdivision, and Medicaid supplemental payments as defined in IC 12-15-15-1.5, in a manner that all hospitals eligible for Medicaid disproportionate share payments under IC 12-15-19-2.1 receive payments using a methodology that:(A) takes into account the situation of the eligible hospitals that have historically qualified for Medicaid disproportionate share payments; and(B) ensures that payments for eligible hospitals are equitable.(d) The percentage reduction shall be sufficient to ensure that payments do not exceed the statewide Medicaid disproportionate share allocation or the amounts that can be financed with:(1) the amount transferred from the hospital care for the indigent trust fund;(2) other intergovernmental transfers;(3) certifications of public expenditures; or(4) any other permissible sources of non-federal match.[Pre-1992 Revision Citation: 12-1-7-17.8(e).]As added by P.L.2-1992, SEC.9. Amended by P.L.27-1992, SEC.22; P.L.113-2000, SEC.14; P.L.212-2007, SEC.9; P.L.218-2007, SEC.19; P.L.229-2011, SEC.137; P.L.205-2013, SEC.200.
IN Code § 12-15-19-10 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 19. Disproportionate Share Providers; Enhanced Disproportionate Share Payments|12-15-19-10. Priorities of Payments

Sec. 10. This section does not apply during the period that the office is assessing a hospital fee authorized by IC 16-21-10. For state fiscal years beginning after June 30, 2000, the state shall pay providers as follows:(1) The state shall make municipal disproportionate share provider payments to providers qualifying under IC 12-15-16-1(b) until the state exceeds the state disproportionate share allocation (as defined in 42 U.S.C. 1396r-4(f)(2)).(2) After the state makes all payments under subdivision (1), if the state fails to exceed the state disproportionate share allocation (as defined in 42 U.S.C. 1396r-4(f)(2)), the state shall make disproportionate share provider payments to providers qualifying under IC 12-15-16-1(a).(3) After the state makes all payments under subdivision (2), if the state fails to exceed the state disproportionate share allocation (as defined in 42 U.S.C. 1396r-4(f)(2)), or the state limit on disproportionate share expenditures for institutions for mental diseases (as defined in 42 U.S.C. 1396r-4(h)), the state shall make community mental health center disproportionate share provider payments to providers qualifying under IC 12-15-16-1(c).As added by P.L.126-1998, SEC.14. Amended by P.L.113-2000, SEC.17; P.L.283-2001, SEC.25; P.L.2-2005, SEC.49; P.L.229-2011, SEC.139; P.L.205-2013, SEC.202.
IN Code § 12-15-20-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 20. Indigent Care Trust Fund|12-15-20-1. Fund Defined

Sec. 1. As used in this chapter, "fund" refers to the Medicaid indigent care trust fund established by this chapter.[1992 Revision Citation: New.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-20-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 20. Indigent Care Trust Fund|12-15-20-3. Expenses of Administration

Sec. 3. The expenses of administering the fund shall be paid from money in the fund.[Pre-1992 Revision Citation: 12-1-7-61(b).]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-20-4 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 20. Indigent Care Trust Fund|12-15-20-4. Investment of Fund Money

Sec. 4. (a) The treasurer of state shall invest the money in the fund not currently needed to meet the obligations of the fund in the same manner as other public funds may be invested.(b) Interest that accrues from investments shall be deposited in the fund.[Pre-1992 Revision Citation: 12-1-7-61(c) part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-20-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 20. Indigent Care Trust Fund|12-15-20-5. Records; Balance in Fund; Investment Earnings

Sec. 5. The office shall maintain records that show the amount of money in the fund and the amount of investment earnings on that amount.[Pre-1992 Revision Citation: 12-1-7-61(c) part.]As added by P.L.2-1992, SEC.9. Amended by P.L.27-1992, SEC.24.
IN Code § 12-15-20-6 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 20. Indigent Care Trust Fund|12-15-20-6. Money Not to Revert to General Fund

Sec. 6. Money in the fund at the end of a state fiscal year does not revert to the state general fund.[Pre-1992 Revision Citation: 12-1-7-61(d).]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-20-7 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 20. Indigent Care Trust Fund|12-15-20-7. Use of Fund Money; Availability of Matching Federal Financial Participation

Sec. 7. Money in the fund may only be used for the purposes listed in section 2 of this chapter to the extent that federal financial participation under Medicaid is available to match the state money.[Pre-1992 Revision Citation: 12-1-7-61(e) part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-20.5-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 20.5. Disproportionate Share Providers|12-15-20.5-1. Unavailability of Federal Matching Funds; Nonimplementation of State Laws

Sec. 1. The office is not required to implement or continue to implement IC 12-15-16, IC 12-15-17, IC 12-15-18, IC 12-15-19, or IC 12-15-20 if the means of financial matching described is or becomes contrary to federal law.As added by P.L.27-1992, SEC.25.