Title: Section 86-1.34 - Supplemental indigent care distributions

86-1.34 Supplemental indigent care distributions.

(a) For the period prior to December 31, 2009:

(i) $307 million shall be distributed to facilities designated by the department as teaching hospitals as of December 31, 2008, to compensate such facilities for Medicaid and self-pay losses pursuant to the following schedule of payments:

(ii) $25 million shall be distributed to non-major public hospitals having Medicaid discharges of 40 percent or greater as determined by the commissioner from data reported in each hospital's 2007 annual cost report, to compensate each hospital's decrease in Medicaid revenue resulting from the trend factor reductions and the inpatient reimbursement methodology changes reflected in this Subpart pursuant to the following schedule of payments:

(b) For annual periods beginning on and after January 1, 2010:

(i) From regional allotments specified below, $269.5 million shall be distributed to non-major public teaching hospitals on a regional basis to cover each eligible facility's proportional regional share of 2007 uncompensated care, as defined in section 2807-k(5-a)(c) of the Public Health Law and offset by disproportionate share payments received by each facility during calendar year 2010 in accordance with sections 2807-k and 2807-w of the Public Health Law and subdivision (a) of this section:

(ii) $25 million shall be distributed to non-major public hospitals having Medicaid discharges of 40 percent or greater as determined by the commissioner from data reported in each hospital's 2007 annual cost report in accordance with the methodology and schedule of payments set forth in paragraph (ii) of subdivision (a) of this section.

(iii) $24.5 million shall be distributed as non-Medicaid grants to non-major public academic medical centers pursuant to the following schedule of payments: