reglab/statecodes huggingface dataset:
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VI - 2016 - 2017 Medicaid Hospital Inpatient Rate Supplement. [Expired] › § 44–663.11. Definitions

§ 44–663.11. Definitions.
For the purposes of this subchapter, the term:
(1) "Department" means the Department of Health Care Finance.
(2) "Hospital" shall have the same meaning as provided in § 44-501(a)(1), but excludes any hospital operated by the federal government and any specialty hospital, as defined by the District of Columbia's Medicaid State Plan ("State Plan"), or a hospital that is reimbursed under a specialty hospital reimbursement methodology under the State Plan.
(3) "Hospital system" means any group of hospitals licensed separately but operated, owned, or maintained by a common entity.
(4) "Inpatient net patient revenue" means the amount calculated in accordance with generally accepted accounting principles for hospitals as derived from each hospital's filed Hospital and Hospital Health Care Complex Cost Report (Form CMS-2552-10), filed for the period ending between October 1, 2013, and September 30, 2014, using the references below:
(A) The sum of: Worksheet G-2; Column 1; Lines 1, 2, 3, 4, 16 and 18;
(B) Minus: The ratio of the sum of Worksheet G-2; Column 1; Lines 5, 6, and 7 divided by Worksheet G-2; Column 1; Line 17 multiplied by Worksheet G-2; Column 1; Line 18;
(C) Divided by: Worksheet G-2; Column 3; Line 28; and
(D) Multiplied by: Worksheet G-3; Column 1; Line 3.
(5) "Medicaid" means the medical assistance programs authorized by Title XIX of the Social Security Act, approved July 30, 1965 (79 Stat. 343; 42 U.S.C. § 1396
et seq
.) ("Social Security Act"), and by § 1-307.02, and administered by the Department.
(Oct. 8, 2016, D.C. Law 21-160, § 5072, 63 DCR 10775.)
Expiration of Law
Section 5079 of D.C. Law 21-160 provided that this section shall expire on September 30, 2017.
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VI - 2016 - 2017 Medicaid Hospital Inpatient Rate Supplement. [Expired] › § 44–663.12. Hospital Fund

§ 44–663.12. Hospital Fund.
(a) There is established as a special fund the Hospital Fund ("Fund"), which shall be administered by the Department in accordance with subsection (c) of this section.
(b) Revenue from the following sources shall be deposited in the Fund:
(1) Fees collected under this subchapter;
(2) Interest and penalties collected under this subchapter; and
(3) Other amounts collected under this subchapter.
(c) Money in the Fund shall be used solely as set forth in § 44-663.13(a)(2).
(d)(1) The money deposited in the Fund, and interest earned, shall not revert to the unrestricted fund balance of the General Fund of the District of Columbia at the end of a fiscal year, or at any other time.
(2) Subject to authorization in an approved budget and financial plan, any funds appropriated in the Fund shall be continually available without regard to fiscal year limitation; provided, that any remaining money in the Fund at the end of each fiscal year shall be refunded to hospitals in proportion to the amounts paid by them.
(Oct. 8, 2016, D.C. Law 21-160, § 5073, 63 DCR 10775.)
Expiration of Law
Section 5079 of D.C. Law 21-160 provided that this section shall expire on September 30, 2017.
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VI - 2016 - 2017 Medicaid Hospital Inpatient Rate Supplement. [Expired] › § 44–663.13. Hospital provider fee

§ 44–663.13. Hospital provider fee.
(a)(1) Beginning October 1, 2016, and except as provided in subsection (b) of this section and § 44-663.16, the District, through the Office of Tax and Revenue, may charge each hospital a fee based on its inpatient net patient revenue.
(2) The fee shall be charged at a uniform rate necessary to generate no more than $10.4 million. Of this amount, $1.4 million may be used to support the Medicaid Managed Care Organization rates for inpatient hospitalization. The remaining amount shall be used to support the maintenance of inpatient Medicaid Fee-for-Service rates at the District Fiscal Year ("DFY") 2015 level of 98% of cost to non-specialty hospitals.
(3) The fee collected pursuant to this section shall be deposited in the Hospital Fund, established by § 44-663.12.
(b) A psychiatric hospital that is an agency or a unit of the District government is exempt from the fee imposed under subsection (a) of this section, unless the exemption is adjudged to be unconstitutional or otherwise invalid, in which case a psychiatric hospital that is an agency or a unit of the District government shall pay the fee imposed by subsection (a) of this section.
(c) If necessary, by August 1, 2016, the Department shall submit a provider tax waiver application to the Center for Medicare and Medicaid Services to ensure the provisions of this subchapter qualify as a broad-based health care related tax, as that term is defined in section 1903(w)(3)(B) of the Social Security Act.
(Oct. 8, 2016, D.C. Law 21-160, § 5074, 63 DCR 10775.)
Expiration of Law
Section 5079 of D.C. Law 21-160 provided that this section shall expire on September 30, 2017.
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VI - 2016 - 2017 Medicaid Hospital Inpatient Rate Supplement. [Expired] › § 44–663.14. Quarterly notice and collection

§ 44–663.14. Quarterly notice and collection.
(a) The fee imposed under § 44-663.13 shall be due and payable by the 15th of the last month of each DFY quarter.
(b) The fee imposed under § 44-663.13 shall be calculated, due, and payable on a quarterly basis, but shall not be due and payable until the District issues written notice to each hospital informing the hospital of its fee rate, inpatient net patient revenue subject to the fee, and the fee amount owed on a quarterly basis, including, in the initial written notice from the District to the hospital, all fee amounts owed beginning with the period October 1, 2016, to ensure all applicable fee obligations have been identified.
(c)(1) If a hospital fails to pay the full amount of its fee by the date required, the unpaid balance shall accrue interest at the rate of 1.5% per month or any fraction thereof, which shall be added to the unpaid balance.
(2) The Chief Financial Officer may arrange a payment plan for the amount of the fee and interest in arrears.
(d) The payment by the hospital of the fee created in this subchapter shall be reported as an allowable cost for purposes of Medicaid hospital reimbursement.
(Oct. 8, 2016, D.C. Law 21-160, § 5075, 63 DCR 10775.)
Expiration of Law
Section 5079 of D.C. Law 21-160 provided that this section shall expire on September 30, 2017.
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VI - 2016 - 2017 Medicaid Hospital Inpatient Rate Supplement. [Expired] › § 44–663.15. Multi-hospital systems, closure, merger, and new hospitals

§ 44–663.15. Multi-hospital systems, closure, merger, and new hospitals.
(a) If a hospital system conducts, operates, or maintains more than one hospital licensed by the Department of Health, the hospital system shall pay the fee for each hospital separately.
(b)(1) Notwithstanding § 44-663.13, if a hospital system or person that is subject to a fee under § 44-663.13 ceases to conduct, operate, or maintain a hospital, as evidenced by the transfer or surrender of a hospital license, the fee for the DFY in which the cessation occurs shall be adjusted by multiplying the fee computed under § 44-663.13 by a fraction, the numerator of which is the number of days in the year during which the hospital system or person conducts, operates, or maintains the hospital and the denominator of which is 365.
(2) Immediately upon ceasing to conduct, operate, or maintain a hospital, the hospital system or person shall pay the fee for the year as so adjusted, to the extent not previously paid.
(c) Notwithstanding any other provision of this subchapter, a hospital system or person who conducts, operates, or maintains a hospital, upon notice by the Department, shall pay the fee required under § 44-663.13 in accordance with subsection (a) of this section on the due date stated in the notice and on the regular installment due dates for the DFY occurring after the due date of the initial notice.
(Oct. 8, 2016, D.C. Law 21-160, § 5076, 63 DCR 10775.)
Expiration of Law
Section 5079 of D.C. Law 21-160 provided that this section shall expire on September 30, 2017.
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VI - 2016 - 2017 Medicaid Hospital Inpatient Rate Supplement. [Expired] › § 44–663.16. Federal determinations; suspension and termination of assessment

§ 44–663.16. Federal determinations; suspension and termination of assessment.
(a) If the Centers for Medicare and Medicaid Services determines that an assessment imposed on a hospital pursuant to this subchapter does not satisfy the requirements for federal financial participation set forth in section 1903(w) of the Social Security Act, that determination shall not affect the validity, amount, applicable rate, or any other terms of an assessment on other hospitals imposed by this subchapter.
(b) If the Centers for Medicare and Medicaid Services determines that an exclusion for specialty hospitals under this subchapter would prevent an assessment imposed by this subchapter from qualifying as a broad-based health care related tax, as that term is defined in section 1903(w)(3)(B) of the Social Security Act, the exclusion of specialty hospitals shall not be made.
(Oct. 8, 2016, D.C. Law 21-160, § 5077, 63 DCR 10775.)
Expiration of Law
Section 5079 of D.C. Law 21-160 provided that this section shall expire on September 30, 2017.
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VI - 2016 - 2017 Medicaid Hospital Inpatient Rate Supplement. [Expired] › § 44–663.17. Rules

§ 44–663.17. Rules.
The Mayor, pursuant to subchapter I of Chapter 5 of Title 2, may issue rules to implement the provisions of this subchapter.
(Oct. 8, 2016, D.C. Law 21-160, § 5078, 63 DCR 10775.)
Expiration of Law
Section 5079 of D.C. Law 21-160 provided that this section shall expire on September 30, 2017.
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VI - 2016 - 2017 Medicaid Hospital Inpatient Rate Supplement. [Expired] › § 44–663.18. Sunset

§ 44–663.18. Sunset.
This subchapter shall expire on September 30, 2017.
(Oct. 8, 2016, D.C. Law 21-160, § 5079, 63 DCR 10775.)
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VII - Hospital Outpatient Supplemental Payment › § 44–664.01. Definitions

§ 44–664.01. Definitions.
For the purposes of this subchapter, the term:
(1) "Department" means the Department of Health Care Finance.
(2) "Hospital" shall have the same meaning as provided in § 44-501(a)(1), but excludes any hospital operated by the federal government.
(3) "Hospital system" means any group of hospitals licensed separately, but operated, owned, or maintained by a common entity.
(4) "Medicaid" means the medical assistance programs authorized by Title XIX of the Social Security Act, approved July 30, 1965 (79 Stat. 343; 42 U.S.C. § 1396
et seq
.), and by § 1-307.02, and administered by the Department.
(5) "Outpatient gross patient revenue" means the amount calculated in accordance with generally accepted accounting principles for hospitals that is reported as the sum of Lines 18 and 19; Column 2; Worksheet G-2 of the Hospital and Hospital Health Care Complex Cost Report (Form CMS 2552-10), filed for the period between October 1 and September 30, 2018.
(Dec. 13, 2017, D.C. Law 22-33, § 5062, 64 DCR 7652; Oct. 30, 2018, D.C. Law 22-168, § 5032(a), 65 DCR 9388; Sept. 11, 2019, D.C. Law 23-16, § 5082(a), 66 DCR 8621; Dec. 3, 2020, D.C. Law 23-149, § 5002(a), 67 DCR 10493.)
Emergency Legislation
For temporary (90 days) amendment of this section, see § 5082(a) of Fiscal Year 2020 Budget Support Congressional Review Emergency Act of 2019 (D.C. Act 23-112, Sept. 4, 2019, 66 DCR 11964).
For temporary (90 days) amendment of this section, see § 5082(a) of Fiscal Year 2020 Budget Support Emergency Act of 2019 (D.C. Act 23-91, July 22, 2019, 66 DCR 8497).
For temporary (90 days) amendment of this section, see § 5032(a) of Fiscal Year 2019 Budget Support Congressional Review Emergency Act of 2018 (D.C. Act 22-458, Oct. 3, 2018, 65 DCR 11212).
For temporary (90 days) amendment of this section, see § 5032(a) of Fiscal Year 2019 Budget Support Emergency Act of 2018 (D.C. Act 22-434, July 30, 2018, 65 DCR 8200).
For temporary (90-day) creation of this section, see § 5062 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802).
For temporary (90-day) creation of this section, see § 5062 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VII - Hospital Outpatient Supplemental Payment › § 44–664.02. Hospital Provider Fee Fund

§ 44–664.02. Hospital Provider Fee Fund.
(a) There is established as a special fund the Hospital Provider Fee Fund ("Fund"), which shall be administered by the Department in accordance with subsections (c) and (d) of this section.
(b) Revenue from the following sources shall be deposited in the Fund:
(1) Fees collected under this subchapter; and
(2) Interest and penalties collected under this subchapter.
(c) Money in the Fund may only be used for the following purposes:
(1) Making Medicaid outpatient hospital access payments to hospitals as required under § 44-664.05, either directly or through payments to managed care organizations;
(2) Payment of administrative expenses incurred by the Department or its agent in performing the activities authorized by this subchapter in an amount not to exceed $150,000 annually; and
(3) Providing refunds to hospitals pursuant to § 44-664.04.
(d) Money in the Fund may not be used to replace money appropriated to the Medicaid program.
(e)(1) The money deposited into the Fund shall not revert to the unrestricted fund balance of the General Fund of the District of Columbia at the end of a fiscal year, or at any other time.
(2) Subject to authorization in an approved budget and financial plan, any funds appropriated in the Fund shall be continually available without regard to fiscal year limitation.
(Dec. 13, 2017, D.C. Law 22-33, § 5063, 64 DCR 7652; Dec. 3, 2020, D.C. Law 23-149, § 5002(b), 67 DCR 10493.)
Emergency Legislation
For temporary (90-day) creation of this section, see § 5063 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802).
For temporary (90-day) creation of this section, see § 5063 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VII - Hospital Outpatient Supplemental Payment › § 44–664.03. Hospital provider fee

§ 44–664.03. Hospital provider fee.
(a) Beginning October 1, 2019, and subject to § 44-664.04, the District may charge each hospital a fee based on its outpatient gross patient revenue. The fee shall be charged at a uniform rate necessary to generate the following:
(1) An amount equal to the non-federal share of the total available spending room under the outpatient Medicaid upper payment limit for private hospitals applicable to District Fiscal Year 2020, consistent with requirements and approvals from the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services; plus
(2) An amount equal to the non-federal share of the total available spending room under the outpatient Medicaid upper payment limit for District operated hospitals applicable to District Fiscal Year 2020, consistent with the federal approval of the authorizing Medicaid State Plan amendment or associated templates and other authorities; plus
(3) An amount equal to the Department's administrative expenses as described in § 44-664.02(c)(2).
(b) A psychiatric hospital that is an agency or a unit of the District government is exempt from the fee imposed under subsection (a) of this section, unless the exemption is adjudged to be unconstitutional or otherwise invalid, in which case a psychiatric hospital that is an agency or a unit of the District government shall pay the fee imposed by subsection (a) of this section.
(Dec. 13, 2017, D.C. Law 22-33, § 5064, 64 DCR 7652; Oct. 30, 2018, D.C. Law 22-168, § 5032(b), 65 DCR 9388; Sept. 11, 2019, D.C. Law 23-16, § 5082(b), 66 DCR 8621; Dec. 3, 2020, D.C. Law 23-149, § 5002(c), 67 DCR 10493.)
Emergency Legislation
For temporary (90 days) amendment of this section, see § 5082(b) of Fiscal Year 2020 Budget Support Congressional Review Emergency Act of 2019 (D.C. Act 23-112, Sept. 4, 2019, 66 DCR 11964).
For temporary (90 days) amendment of this section, see § 5082(b) of Fiscal Year 2020 Budget Support Emergency Act of 2019 (D.C. Act 23-91, July 22, 2019, 66 DCR 8497).
For temporary (90 days) amendment of this section, see § 5032(b) of Fiscal Year 2019 Budget Support Congressional Review Emergency Act of 2018 (D.C. Act 22-458, Oct. 3, 2018, 65 DCR 11212).
For temporary (90 days) amendment of this section, see § 5032(b) of Fiscal Year 2019 Budget Support Emergency Act of 2018 (D.C. Act 22-434, July 30, 2018, 65 DCR 8200).
For temporary (90-day) creation of this section, see § 5064 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802).
For temporary (90-day) creation of this section, see § 5064 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VII - Hospital Outpatient Supplemental Payment › § 44–664.06. Quarterly notice and collection

§ 44–664.06. Quarterly notice and collection.
(a) The fee imposed under § 44-664.03, which shall be calculated, due, and payable on a quarterly basis, shall be due and payable by the 15th of the last month of each DFY quarter; provided, that the fee shall not be due and payable until:
(1) The District issues written notice that the payment methodologies for payments to hospitals required under § 44-664.05 have been approved by the Centers for Medicare and Medicaid Services; and
(2) The District issues written notice to the hospital informing the hospital of its fee rate, outpatient gross patient revenue subject to the fee, and the fee amount owed on a quarterly basis, including, in the initial written notice from the District to the hospital, all fee amounts owed beginning with the period commencing on October 1 of each year, to ensure all applicable fee obligations have been identified.
(b)(1) If a hospital fails to pay the full amount of the fee in accordance with this subchapter, the unpaid balance shall accrue interest at the rate of 1.5% per month or any fraction thereof, which shall be added to the unpaid balance.
(2) The Chief Financial Officer may arrange a payment plan for the amount of the fee and interest in arrears.
(c) The payment by the hospital of the fee created in this subchapter shall be reported as an allowable cost for purposes of Medicaid hospital reimbursement.
(Dec. 13, 2017, D.C. Law 22-33, § 5067, 64 DCR 7652; Oct. 30, 2018, D.C. Law 22-168, § 5032(e), 65 DCR 9388; Sept. 11, 2019, D.C. Law 23-16, § 5082(e), 66 DCR 8621.)
Emergency Legislation
For temporary (90 days) amendment of this section, see § 5082(e) of Fiscal Year 2020 Budget Support Congressional Review Emergency Act of 2019 (D.C. Act 23-112, Sept. 4, 2019, 66 DCR 11964).
For temporary (90 days) amendment of this section, see § 5082(e) of Fiscal Year 2020 Budget Support Emergency Act of 2019 (D.C. Act 23-91, July 22, 2019, 66 DCR 8497).
For temporary (90 days) amendment of this section, see § 5032(e) of Fiscal Year 2019 Budget Support Congressional Review Emergency Act of 2018 (D.C. Act 22-458, Oct. 3, 2018, 65 DCR 11212).
For temporary (90 days) amendment of this section, see § 5032(e) of Fiscal Year 2019 Budget Support Emergency Act of 2018 (D.C. Act 22-434, July 30, 2018, 65 DCR 8200).
For temporary (90-day) creation of this section, see § 5067 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802).
For temporary (90-day) creation of this section, see § 5067 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VII - Hospital Outpatient Supplemental Payment › § 44–664.07. Multi-hospital systems, closure, merger, and new hospitals

§ 44–664.07. Multi-hospital systems, closure, merger, and new hospitals.
(a) If a hospital system conducts, operates, or maintains more than one hospital licensed by the Department of Health, the hospital system shall pay the fee for each hospital separately.
(b)(1) Notwithstanding any other provision in this subchapter, if a hospital system or person ceases to conduct, operate, or maintain a hospital that is subject to a fee under § 44-664.03, as evidenced by the transfer or surrender of the hospital license, the fee for the DFY in which the cessation occurs shall be adjusted by multiplying the fee computed under § 44-664.03 by a fraction, the numerator of which is the number of days in the year during which the hospital system or person conducted, operated, or maintained the hospital, and the denominator of which is 365.
(2) Immediately upon ceasing to conduct, operate, or maintain a hospital, the hospital system or person shall pay the fee for the year as so adjusted, to the extent not previously paid.
(c) Notwithstanding any other provision in this subchapter a hospital system or person who conducts, operates, or maintains a hospital, upon notice by the Department, shall pay the fee computed under § 44-664.03 and subsection (a) of this section in installments on the due date stated in the notice and on the regular installment due dates for the DFY occurring after the due dates of the initial notice.
(Dec. 13, 2017, D.C. Law 22-33, § 5068, 64 DCR 7652.)
Emergency Legislation
For temporary (90-day) creation of this section, see § 5068 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802).
For temporary (90-day) creation of this section, see § 5068 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VII - Hospital Outpatient Supplemental Payment › § 44–664.08. Rules

§ 44–664.08. Rules.
The Mayor, pursuant to subchapter I of Chapter 5 of Title 2, may issue rules to implement the provisions of this subchapter.
(Dec. 13, 2017, D.C. Law 22-33, § 5069, 64 DCR 7652.)
Emergency Legislation
For temporary (90-day) creation of this section, see § 5069 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802).
For temporary (90-day) creation of this section, see § 5069 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VII - Hospital Outpatient Supplemental Payment › § 44–664.09. Sunset

§ 44–664.09. Sunset.
This subchapter shall expire on September 30, 2029.
(Dec. 13, 2017, D.C. Law 22-33, § 5070, 64 DCR 7652; Oct. 30, 2018, D.C. Law 22-168, § 5032(f), 65 DCR 9388; Sept. 11, 2019, D.C. Law 23-16, § 5082(f), 66 DCR 8621.)
Emergency Legislation
For temporary (90 days) amendment of this section, see § 5082(f) of Fiscal Year 2020 Budget Support Congressional Review Emergency Act of 2019 (D.C. Act 23-112, Sept. 4, 2019, 66 DCR 11964).
For temporary (90 days) amendment of this section, see § 5082(f) of Fiscal Year 2020 Budget Support Emergency Act of 2019 (D.C. Act 23-91, July 22, 2019, 66 DCR 8497).
For temporary (90 days) amendment of this section, see § 5032(f) of Fiscal Year 2019 Budget Support Congressional Review Emergency Act of 2018 (D.C. Act 22-458, Oct. 3, 2018, 65 DCR 11212).
For temporary (90 days) amendment of this section, see § 5032(f) of Fiscal Year 2019 Budget Support Emergency Act of 2018 (D.C. Act 22-434, July 30, 2018, 65 DCR 8200).
For temporary (90-day) creation of this section, see § 5070 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802).
For temporary (90-day) creation of this section, see § 5070 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VIII - Hospital Inpatient Rate Supplement › § 44–664.11. Definitions

§ 44–664.11. Definitions.
For the purposes of this subchapter, the term:
(1) "Department" means the Department of Health Care Finance.
(2) "Hospital" shall have the same meaning as provided in § 44-501(a)(1), but excludes any hospital operated by the federal government and any specialty hospital, as defined by the District of Columbia's Medicaid State Plan ("State Plan"), or a hospital that is reimbursed under a specialty hospital reimbursement methodology under the State Plan.
(3) "Hospital system" means any group of hospitals licensed separately but operated, owned, or maintained by a common entity.
(4) "Inpatient net patient revenue" means the amount calculated in accordance with generally accepted accounting principles for hospitals as derived from each hospital's filed Hospital and Hospital Health Care Complex Cost Report (Form CMS-2552-10), filed for the period between October 1 and September 30 of the period 3 fiscal years prior to the fiscal year the fee is assessed, using the references below:
(A) The sum of: Worksheet G-2; Column 1; Lines 1, 2, 3, 4, 16 and 18;
(B) Minus: The ratio of the sum of Worksheet G-2; Column 1; Lines 5, 6, and 7 divided by Worksheet G-2; Column 1; Line 17 multiplied by Worksheet G-2; Column 1; Line 18;
(C) Divided by: Worksheet G-2; Column 3; Line 28; and
(D) Multiplied by: Worksheet G-3; Column 1; Line 3.
(5) "Medicaid" means the medical assistance programs authorized by Title XIX of the Social Security Act, approved July 30, 1965 (79 Stat. 343; 42 U.S.C. § 1396
et seq
.) ("Social Security Act"), and by § 1-307.02, and administered by the Department.
(Dec. 13, 2017, D.C. Law 22-33, § 5082, 64 DCR 7652; Oct. 30, 2018, D.C. Law 22-168, § 5042(a), 65 DCR 9388; Sept. 11, 2019, D.C. Law 23-16, § 5083(a), 66 DCR 8621.)
Emergency Legislation
For temporary (90 days) amendment of this section, see § 5083(a) of Fiscal Year 2020 Budget Support Congressional Review Emergency Act of 2019 (D.C. Act 23-112, Sept. 4, 2019, 66 DCR 11964).
For temporary (90 days) amendment of this section, see § 5083(a) of Fiscal Year 2020 Budget Support Emergency Act of 2019 (D.C. Act 23-91, July 22, 2019, 66 DCR 8497).
For temporary (90 days) amendment of this section, see § 5042(a) of Fiscal Year 2019 Budget Support Congressional Review Emergency Act of 2018 (D.C. Act 22-458, Oct. 3, 2018, 65 DCR 11212).
For temporary (90 days) amendment of this section, see § 5042(a) of Fiscal Year 2019 Budget Support Emergency Act of 2018 (D.C. Act 22-434, July 30, 2018, 65 DCR 8200).
For temporary (90-day) creation of this section, see § 5082 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802).
For temporary (90-day) creation of this section, see § 5082 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VIII - Hospital Inpatient Rate Supplement › § 44–664.12. Hospital Fund

§ 44–664.12. Hospital Fund.
(a) There is established as a special fund the Hospital Fund ("Fund"), which shall be administered by the Department in accordance with subsection (c) of this section.
(b) Revenue from the following sources shall be deposited in the Fund:
(1) Fees collected under this subchapter;
(2) Interest and penalties collected under this subchapter; and
(3) Other amounts collected under this subchapter.
(c) Money in the Fund shall be used solely as set forth in § 44-664.13(a)(2).
(d)(1) The money deposited in the Fund shall not revert to the unrestricted fund balance of the General Fund of the District of Columbia at the end of a fiscal year, or at any other time.
(2) Subject to authorization in an approved budget and financial plan, any funds appropriated in the Fund shall be continually available without regard to fiscal year limitation; provided, that any remaining money in the Fund at the end of each fiscal year shall be refunded to hospitals in proportion to the amounts paid by them.
(Dec. 13, 2017, D.C. Law 22-33, § 5083, 64 DCR 7652.)
Emergency Legislation
For temporary (90-day) creation of this section, see § 5083 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802).
For temporary (90-day) creation of this section, see § 5083 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VIII - Hospital Inpatient Rate Supplement › § 44–664.13. Hospital provider fee

§ 44–664.13. Hospital provider fee.
(a)(1) Beginning October 1, 2020, and except as provided in subsection (b) of this section and § 44-664.16, the District, through the Office of Tax and Revenue, may charge each hospital a fee based on its inpatient net patient revenue.
(2) The fee shall be charged at a uniform rate necessary to generate no more than $8,454,038 to support inpatient Medicaid Fee-for-Service and managed care rates at the District Fiscal Year 2015 level of not less than 98% of cost to non-specialty hospitals.
(3) The fee collected pursuant to this section shall be deposited in the Hospital Fund, established by § 44-664.12.
(b) A psychiatric hospital that is an agency or a unit of the District government is exempt from the fee imposed under subsection (a) of this section, unless the exemption is adjudged to be unconstitutional or otherwise invalid, in which case a psychiatric hospital that is an agency or a unit of the District government shall pay the fee imposed by subsection (a) of this section.
(c) If necessary, by August 1, 2019, the Department shall submit a provider tax waiver application to the Center for Medicare and Medicaid Services to ensure the provisions of this subchapter qualify as a broad-based health care related tax, as that term is defined in section 1903(w)(3)(B) of the Social Security Act.
(Dec. 13, 2017, D.C. Law 22-33, § 5084, 64 DCR 7652; Oct. 30, 2018, D.C. Law 22-168, § 5042(b), 65 DCR 9388; Sept. 11, 2019, D.C. Law 23-16, § 5083(b), 66 DCR 8621; Dec. 3, 2020, D.C. Law 23-149, § 5003, 67 DCR 10493.)
Emergency Legislation
For temporary (90 days) amendment of this section, see § 5083(b) of Fiscal Year 2020 Budget Support Congressional Review Emergency Act of 2019 (D.C. Act 23-112, Sept. 4, 2019, 66 DCR 11964).
For temporary (90 days) amendment of this section, see § 5083(b) of Fiscal Year 2020 Budget Support Emergency Act of 2019 (D.C. Act 23-91, July 22, 2019, 66 DCR 8497).
For temporary (90 days) amendment of this section, see § 5042(1) of Fiscal Year 2019 Budget Support Congressional Review Emergency Act of 2018 (D.C. Act 22-458, Oct. 3, 2018, 65 DCR 11212).
For temporary (90 days) amendment of this section, see § 5042(1) of Fiscal Year 2019 Budget Support Emergency Act of 2018 (D.C. Act 22-434, July 30, 2018, 65 DCR 8200).
For temporary (90-day) creation of this section, see § 5084 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802).
For temporary (90-day) creation of this section, see § 5084 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VIII - Hospital Inpatient Rate Supplement › § 44–664.14. Quarterly notice and collection

§ 44–664.14. Quarterly notice and collection.
(a) The fee imposed under § 44-664.13 shall be due and payable by the 15th of the last month of each DFY quarter.
(b) The fee imposed under § 44-664.13 shall be calculated, due, and payable on a quarterly basis, but shall not be due and payable until the District issues written notice to each hospital informing the hospital of its fee rate, inpatient net patient revenue subject to the fee, and the fee amount owed on a quarterly basis, including, in the initial written notice from the District to the hospital, all fee amounts owed beginning with the period October 1 of each District Fiscal Year, to ensure all applicable fee obligations have been identified.
(c)(1) If a hospital fails to pay the full amount of its fee by the date required, the unpaid balance shall accrue interest at the rate of 1.5% per month or any fraction thereof, which shall be added to the unpaid balance.
(2) The Chief Financial Officer may arrange a payment plan for the amount of the fee and interest in arrears.
(d) The payment by the hospital of the fee created in this subchapter shall be reported as an allowable cost for purposes of Medicaid hospital reimbursement.
(Dec. 13, 2017, D.C. Law 22-33, § 5085, 64 DCR 7652; Oct. 30, 2018, D.C. Law 22-168, § 5042(c), 65 DCR 9388; Sept. 11, 2019, D.C. Law 23-16, § 5083(c), 66 DCR 8621.)
Emergency Legislation
For temporary (90 days) amendment of this section, see § 5083(c) of Fiscal Year 2020 Budget Support Congressional Review Emergency Act of 2019 (D.C. Act 23-112, Sept. 4, 2019, 66 DCR 11964).
For temporary (90 days) amendment of this section, see § 5083(c) of Fiscal Year 2020 Budget Support Emergency Act of 2019 (D.C. Act 23-91, July 22, 2019, 66 DCR 8497).
For temporary (90 days) amendment of this section, see § 5042(c) of Fiscal Year 2019 Budget Support Congressional Review Emergency Act of 2018 (D.C. Act 22-458, Oct. 3, 2018, 65 DCR 11212).
For temporary (90 days) amendment of this section, see § 5042(c) of Fiscal Year 2019 Budget Support Emergency Act of 2018 (D.C. Act 22-434, July 30, 2018, 65 DCR 8200).
For temporary (90-day) creation of this section, see § 5085 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802).
For temporary (90-day) creation of this section, see § 5085 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VIII - Hospital Inpatient Rate Supplement › § 44–664.15. Multi-hospital systems, closure, merger, and new hospitals

§ 44–664.15. Multi-hospital systems, closure, merger, and new hospitals.
(a) If a hospital system conducts, operates, or maintains more than one hospital licensed by the Department of Health, the hospital system shall pay the fee for each hospital separately.
(b)(1) Notwithstanding § 44-664.13, if a hospital system or person that is subject to a fee under § 44-664.13 ceases to conduct, operate, or maintain a hospital, as evidenced by the transfer or surrender of a hospital license, the fee for the DFY in which the cessation occurs shall be adjusted by multiplying the fee computed under § 44-664.13 by a fraction, the numerator of which is the number of days in the year during which the hospital system or person conducts, operates, or maintains the hospital and the denominator of which is 365.
(2) Immediately upon ceasing to conduct, operate, or maintain a hospital, the hospital system or person shall pay the fee for the year as so adjusted, to the extent not previously paid.
(c) Notwithstanding any other provision of this subchapter, a hospital system or person who conducts, operates, or maintains a hospital, upon notice by the Department, shall pay the fee required under § 44-664.13 in accordance with subsection (a) of this section on the due date stated in the notice and on the regular installment due dates for the DFY occurring after the due date of the initial notice.
(Dec. 13, 2017, D.C. Law 22-33, § 5086, 64 DCR 7652.)
Emergency Legislation
For temporary (90-day) creation of this section, see § 5086 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802).
For temporary (90-day) creation of this section, see § 5086 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VIII - Hospital Inpatient Rate Supplement › § 44–664.16. Federal determinations; suspension and termination of assessment

§ 44–664.16. Federal determinations; suspension and termination of assessment.
(a) If the Centers for Medicare and Medicaid Services determines that an assessment imposed on a hospital pursuant to this subchapter does not satisfy the requirements for federal financial participation set forth in section 1903(w) of the Social Security Act, that determination shall not affect the validity, amount, applicable rate, or any other terms of an assessment on other hospitals imposed by this subchapter.
(b) If the Centers for Medicare and Medicaid Services determines that an exclusion for specialty hospitals under this subchapter would prevent an assessment imposed by this subchapter from qualifying as a broad-based health care related tax, as that term is defined in section 1903(w)(3)(B) of the Social Security Act, the exclusion of specialty hospitals shall not be made.
(Dec. 13, 2017, D.C. Law 22-33, § 5087, 64 DCR 7652.)
Emergency Legislation
For temporary (90-day) creation of this section, see § 5087 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802).
For temporary (90-day) creation of this section, see § 5087 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VIII - Hospital Inpatient Rate Supplement › § 44–664.17. Rules

§ 44–664.17. Rules.
The Mayor, subchapter I of Chapter 5 of Title 2, may issue rules to implement the provisions of this subchapter.
(Dec. 13, 2017, D.C. Law 22-33, § 5088, 64 DCR 7652.)
Emergency Legislation
For temporary (90-day) creation of this section, see § 5088 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802).
For temporary (90-day) creation of this section, see § 5088 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6A - Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements › Subchapter VIII - Hospital Inpatient Rate Supplement › § 44–664.18. Applicability; sunset

§ 44–664.18. Applicability; sunset.
This subchapter shall expire on September 30, 2029.
(Dec. 13, 2017, D.C. Law 22-33, § 5089, 64 DCR 7652; Oct. 30, 2018, D.C. Law 22-168, § 5042(d), 65 DCR 9388; Sept. 11, 2019, D.C. Law 23-16, § 5083(d), 66 DCR 8621.)
Emergency Legislation
For temporary (90 days) amendment of this section, see § 5083(d) of Fiscal Year 2020 Budget Support Congressional Review Emergency Act of 2019 (D.C. Act 23-112, Sept. 4, 2019, 66 DCR 11964).
For temporary (90 days) amendment of this section, see § 5083(d) of Fiscal Year 2020 Budget Support Emergency Act of 2019 (D.C. Act 23-91, July 22, 2019, 66 DCR 8497).
For temporary (90 days) amendment of this section, see § 5042(d) of Fiscal Year 2019 Budget Support Congressional Review Emergency Act of 2018 (D.C. Act 22-458, Oct. 3, 2018, 65 DCR 11212).
For temporary (90 days) amendment of this section, see § 5042(d) of Fiscal Year 2019 Budget Support Emergency Act of 2018 (D.C. Act 22-434, July 30, 2018, 65 DCR 8200).
For temporary (90-day) creation of this section, see § 5089 of the Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017, effective October 24, 2017 (D.C. Act 22-167; 64 DCR 10802).
For temporary (90-day) creation of this section, see § 5089 of the Fiscal Year 2018 Budget Support Emergency Act of 2017, effective July 20, 2017 (D.C. Act 22-104; 64 DCR 7032).
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6B - Medicaid Provider Reimbursement › § 44–671.01. Definitions

§ 44–671.01. Definitions
For the purposes of this chapter, the term:
(1) "Covered Hospital" means a hospital, as defined in § 44-501(a)(9), except the term shall not include:
(A) A hospital operated by the federal government;
(B) A specialty hospital, as defined by the State Plan;
(C) A hospital that is reimbursed under a specialty hospital reimbursement methodology under the State Plan; or
(D) A hospital that serves an economically underserved area, as defined in the State Plan or by the Department in a managed care directed payment plan.
(2) "Department" means the Department of Health Care Finance.
(3) "Medicaid" means the medical assistance programs authorized by Title XIX of the Social Security Act, approved July 30, 1965 (79 Stat. 343; 42 U.S.C. § 1396
et seq
.) and by § 1-307.02, and administered by the Department.
(4) "State Plan" means the District of Columbia Medicaid State Plan.
(Sept. 6, 2023, D.C. Law 25-50, § 5012, 70 DCR 10366.)
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6B - Medicaid Provider Reimbursement › § 44–671.02. Medicaid hospital provider reimbursement

§ 44–671.02. Medicaid hospital provider reimbursement.
(a) Beginning October 1, 2023, the Department shall fund capitation rates for each managed care organization at a level that complies with the minimum reimbursement levels established in §§ 44-664.05(b-1) and 44-664.13(a)(2), and that ensures a covered hospital receives:
(1) Maximum outpatient hospital reimbursements of 110% of the fee-for-service rate methodology set forth in the State Plan; and
(2) Maximum inpatient hospital reimbursements equal to the negotiated managed care hospital rates that were in effect on March 31, 2023, for the managed care organization for inpatient hospital services.
(b) If necessary to ensure federal concurrence with the provisions of this section, the Department shall, by September 30, 2023, submit a state plan amendment or a managed care directed payment proposal to the Center for Medicare and Medicaid Services.
(c) This section shall expire on September 30, 2027.
(Sept. 6, 2023, D.C. Law 25-50, § 5013, 70 DCR 10366.)
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6B - Medicaid Provider Reimbursement › § 44–671.03. Annual hospital costs reporting

§ 44–671.03. Annual hospital costs reporting.
By December 31, 2023, and by December 31 of each year thereafter, the Department shall publish on its website a report on District all-payer hospital costs.
(Sept. 6, 2023, D.C. Law 25-50, § 5014, 70 DCR 10366.)
2023 District of Columbia Code › Title 44 - Charitable and Curative Institutions › Chapter 6B - Medicaid Provider Reimbursement › § 44–671.04. Medicaid physician provider reimbursement

§ 44–671.04. Medicaid physician provider reimbursement.
The Mayor may direct the Department to make changes to the physician reimbursement methodology set forth in the State Plan for implementation no later than October 1, 2024.
(Sept. 6, 2023, D.C. Law 25-50, § 5015, 70 DCR 10366.)