Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part V - Hospital Services › Subpart 3 - Disproportionate Share Hospital Payments › Chapter 27 - Qualifying Hospitals › Section V-2713 - Low Income and Needy Care Collaboration

Current through Register Vol. 50, No. 6, June 20, 2024
A. Definitions
Low Income and Needy Care Collaboration
					 Agreement
-an agreement between a hospital and a state or local
					 governmental entity to collaborate for purposes of providing healthcare
					 services to low income and needy patients.
B. In order to qualify under this DSH
				  category in any period, a hospital must be party to a low income and needy care
				  collaboration agreement with the Department of Health and Hospitals in that
				  period.
C. DSH payments to low
				  income and needy care collaborating hospitals shall be calculated as follows.
1. In each quarter, the department shall
				  divide hospitals qualifying under this DSH category into two pools. The first
				  pool shall include hospitals that, in addition to qualifying under this DSH
				  category, also qualify for DSH payments under any other DSH category. Hospitals
				  in the first pool shall be eligible to receive DSH payments under
				  §2713. C.2 provisions.
				  The second pool shall include all other hospitals qualifying under this DSH
				  category. Hospitals in the second pool shall be eligible to receive DSH
				  payments under
				  §2713. C.3
				  provisions.
2. In each quarter, to
				  the extent the department appropriates funding to this DSH category, hospitals
				  that qualify under the provisions of
				  §2713. C.2 shall receive
				  100 percent of the total amount appropriated by the department for this DSH
				  category.
a. If the net uncompensated care
				  costs of these hospitals exceed the amount appropriated for this pool, payment
				  shall be made based on each hospital's pro rata share of the pool.
i. The pro rata share shall be calculated by
				  dividing the hospital's net uncompensated care costs by the total of the net
				  uncompensated care costs for all hospitals qualifying under
				  §2713. C.2 and
				  multiplying by the amount appropriated by the department.
b. If the amount appropriated for this DSH
				  category exceeds the net uncompensated care costs of all hospitals qualifying
				  under §2713.
				  C 2, payment shall be made up to each
				  hospital's net uncompensated care costs.
c. Any amount available after all
				  distributions are made under
				  §2713. C.2 provisions
				  shall be distributed subject to the provisions in
				  §2713. C 3
3. In each quarter, to the extent
				  distributions are available, and after all distributions are made under
				  §2713. C.2 provisions,
				  distributions under
				  §2713. C.3 provisions
				  shall be made according to the following terms.
a. If the net uncompensated care costs of all
				  hospitals qualifying for payment under
				  §2713. C.3 provisions
				  exceed the amount available for this pool, payment shall be made based on each
				  hospital's pro rata share of the pool.
i. The
				  pro rata share shall be calculated by dividing its net uncompensated care costs
				  by the total of the net uncompensated care costs for all hospitals qualifying
				  under §2713.
				  C 3
b. If the amount available for payments under
				  §2713. C.3 exceeds the
				  net uncompensated care costs of all qualifying hospitals, payments shall be
				  made up to each hospital's net uncompensated care costs and the remaining
				  amount shall be used by the department to make disproportionate share payments
				  under this DSH category in future quarters.