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-2703 - Federally Mandated Statutory Hospitals
Current through Register Vol. 50, No. 3, March 20, 2024
A. Definition
Federally Mandated Statutory Hospital-a hospital that meets the federal DSH statutory utilization requirements in §2503. A.4.a-b.ii.
B. DSH payments to individual federally mandated statutory hospitals shall be based on actual paid Medicaid days for a six-month period ending on the last day of the last month of that period, but reported at least 30 days preceding the date of payment. Annualization of days for the purposes of the Medicaid days pool is not permitted. The amount will be obtained by DHH from a report of paid Medicaid days by service date.
C. Disproportionate share payments for individual hospitals in this group shall be calculated based on the product of the ratio determined by:
D. A pro rata decrease necessitated by conditions specified in §2501. B.1-6 for hospitals in this group will be calculated based on the ratio determined by:
E. The federally mandated statutory hospital category may also include hospitals qualifying as non-rural community hospitals in state fiscal year 2007-2008.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.