(1) Unless specified in the General Appropriations Act, the agency shall use the following formula to calculate the total amount earned for hospitals that participate in the specialty hospital for children disproportionate share program:
TAE = DSR x BMPD x MD
Where:
TAE = total amount earned by a specialty hospital for children.
DSR = disproportionate share rate.
BMPD = base Medicaid per diem.
MD = Medicaid days.
(2) The agency shall calculate the total additional payment for hospitals that participate in the specialty hospital for children disproportionate share program as follows:
TAP = (TAE x TA) ÷ STAE
Where:
TAP = total additional payment for a specialty hospital for children.
TAE = total amount earned by a specialty hospital for children.
TA = total appropriation for the specialty hospital for children disproportionate share program.
STAE = sum of total amount earned by each hospital that participates in the specialty hospital for children disproportionate share program.
(3) A hospital may not receive any payments under this section until it achieves full compliance with the applicable rules of the agency. A hospital that is not in compliance for two or more consecutive quarters may not receive its share of the funds. Any forfeited funds must be distributed to the remaining participating specialty hospitals for children that are in compliance.
1(4) Notwithstanding any provision of this section to the contrary, for the 2019-2020 state fiscal year, for hospitals achieving full compliance under subsection (3), the agency shall make disproportionate share payments to specialty hospitals for children as provided in the 2019-2020 General Appropriations Act. This subsection expires July 1, 2020.
History.—s. 18, ch. 2000-163; ss. 16, 66, ch. 2000-171; s. 55, ch. 2000-256; s. 17, ch. 2003-405; s. 13, ch. 2009-55; s. 54, ch. 2016-62; s. 13, ch. 2017-129; s. 24, ch. 2018-10; s. 35, ch. 2019-116.
1Note.—Section 35, ch. 2019-116, amended subsection (4) “[i]n order to implement Specific Appropriation 204 of the 2019-2020 General Appropriations Act.”
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