(a) For successor demonstration year 6 and subsequent successor demonstration years, each designated public hospital described in subdivision (c) of Section 14166.3 shall be eligible to receive an allocation of federal Medicaid funding from the applicable federal disproportionate share hospital allotment pursuant to this section. The department shall establish the allocations and claim the federal funding in a manner that maximizes federal Medicaid funding to the state during the term of the successor demonstration project, and shall consider, at a minimum, all of the following factors: (1) The optimal use of intergovernmental transfer-funded payments described in subdivision (d). (2) Minimizing the need to redistribute federal funds that are based on the certified public expenditures of designated public hospitals as described in paragraph (1) of subdivision (c). (b) Disproportionate share hospital allocations for designated public hospitals shall be determined for each successor demonstration year as set forth below. With respect to successor demonstration year 10, allocations shall be determined separately for each of the periods of July 1, 2014, through June 30, 2015, and July 1, 2015, through October 31, 2015. (1) The department shall determine the maximum federal disproportionate share hospital allotment that is available under this section for the successor demonstration year. (2) An initial allocation shall be made to Kern Medical Center for the periods and in the amounts specified below: (A) For successor demonstration year 6, the amount of eight million dollars ($8,000,000). (B) For successor demonstration years 7 through 9, the amount of twelve million dollars ($12,000,000). (C) For the period of July 1, 2014, through June 30, 2015, the amount of twelve million dollars ($12,000,000). (D) For the period of July 1, 2015, through October 31, 2015, the amount of four million dollars ($4,000,000). (3) Each designated public hospital shall be allocated an amount per hospital discharge as specified in this paragraph. The number of discharges per category occurring in the relevant period shall be derived from each hospitalâs data as reported pursuant to Section 14166.8. The reported discharges shall relate to the same hospital services for which costs are calculated for purposes of this section. (A) One thousand one hundred dollars ($1,100) per hospital discharge with respect to an uninsured individual. (B) Nine hundred dollars ($900) per hospital discharge with respect to an individual enrolled in the Low Income Health Program. (C) Seven hundred fifty dollars ($750) per hospital discharge with respect to a Medi-Cal beneficiary, excluding discharges for which Medicare payments were received. (4) The remaining available federal disproportionate share hospital allotment, after the allocations are made pursuant to paragraphs (2) and (3), shall be allocated to designated public hospitals as follows: (A) The department shall calculate for each designated public hospital an initial DSH claiming ability amount. For the purposes of this article, the âinitial DSH claiming ability amountâ means the total sum of the hospitalâs uncompensated Medi-Cal, Low Income Health Program, and uninsured costs of hospital services that are reported as eligible certified public expenditures for disproportionate share hospital payments pursuant to Section 14166.8. For hospitals described in subdivision (d), the total sum shall be multiplied by 175 percent. (B) The remaining available federal disproportionate share hospital allotment shall be allocated pro rata among the designated public hospitals based upon each hospitalâs initial DSH claiming ability amount as determined pursuant to subparagraph (A). (c) Each designated public hospital shall receive its allocation of federal disproportionate share hospital payments in one or both of the following forms: (1) Distributions from the Demonstration Disproportionate Share Hospital Fund establis
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