New York Public Health Code § 2807-W

High need indigent care adjustment pool
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§ 2807-w. High need indigent care adjustment pool. Funds allocated\npursuant to paragraph (p) of subdivision one of section twenty-eight\nhundred seven-v of this article, shall be deposited as authorized and\nused for the purpose of making medicaid disproportionate share payments\nof up to eighty-two million dollars on an annualized basis pursuant to\nsubdivision twenty-one of section twenty-eight hundred seven-c of this\narticle, for the period January first, two thousand through March\nthirty-first, two thousand fourteen, in accordance with the following:\n  1. From the funds in the pool each year: (a) Each eligible rural\nhospital shall receive one hundred forty thousand dollars on an\nannualized basis for the periods January first, two thousand through\nDecember thirty-first, two thousand fourteen, provided as a\ndisproportionate share payment; provided, however, that if such payment\npursuant to this paragraph exceeds a hospital's applicable\ndisproportionate share limit, then the total amount in excess of such\nlimit shall be provided as a nondisproportionate share payment in the\nform of a grant directly from this pool without allocation to the\nspecial revenue funds - other, indigent care fund - 068, or any\nsuccessor fund or account, and provided further that payments for\nperiods on and after January first, two thousand nine shall be subject\nto the provisions of subdivision five-a of section twenty-eight hundred\nseven-k of this article;\n  (b) Each such hospital shall also receive an amount calculated by\nmultiplying the facility's uncompensated care need by the appropriate\npercentage from the following scale based on hospital rankings developed\nin accordance with each eligible rural hospital's weight as defined by\nthis section.\n               Rank                      Percentage Coverage of\n                                         Uncompensated Care Need\n                1-9                             60.0%\n               10-17                            52.5%\n               18-25                            45.0%\n               26-33                            37.5%\n               34-41                            30.0%\n               42-49                            22.5%\n               50-57                            15.0%\n                 58+                             7.5%\n  For purposes of calculating the distribution amount to an eligible\nrural hospital which has merged with another hospital on or after\nDecember thirty-first, nineteen hundred ninety-nine, and continues to be\nan eligible rural hospital in accordance with paragraph (c) of this\nsubdivision, such merged facility's uncompensated care need pursuant to\nthis paragraph shall be calculated from data provided in the eligible\nrural hospital's institutional cost report filed for the rate period two\nyears prior to the distribution period, or if such report is not\nrequired for such rural hospital, the distribution amount shall be based\nupon the last institutional cost report required to be filed by such\nrural hospital.\n  (c) "Eligible rural hospital", as used in this section, shall mean a\ngeneral hospital that as of December thirty-first, nineteen hundred\nninety-nine or thereafter, was classified as a rural hospital for\npurposes of determining payment for inpatient services provided to\nbeneficiaries of title XVIII of the federal social security act\n(medicare) or under state regulations, or a general hospital, which\nduring the same time period, had a service area which has an average\npopulation of less than one hundred seventy-five persons per square\nmile, or a general hospital which has a service area which has an\naverage population of less than two hundred persons per square mile\nmeasured as population density by zip code. The average population of\nthe service area is calculated by multiplying annual patient discharges\nby the population density per square mile of the county of origin or zip\ncode as applicable for eac

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