HB 955 -- MEDICAID HOSPITAL REIMBURSEMENT

Under this bill, beginning July 1, 2002, the federal
reimbursement allowance for hospitals will terminate 180 days
after the end of any state fiscal year when the federal
reimbursement allowance assessment is more than 85% of the total
of aggregate Medicaid direct payments, uninsured add-on
payments, and enhanced graduate medical education payments.  The
payments and add-ons may be adjusted prospectively by the
Director of the Department of Social Services during the 180-day
period in order to comply with the 85% test.  Enhanced graduate
medical education payments are not included in the 85% limit if
the state's share of the payments comes from a source other than
the federal reimbursement allowance.

The bill also allows alternative reimbursement for outpatient
services to include enhanced payments or grants for hospital
clinics that serve low-income uninsured patients.

The bill extends the sunset date for the federal reimbursement
allowance from September 30, 2001, to September 30, 2004, unless
terminated sooner under the provisions of the bill.

Missouri House of Representatives
Last Updated November 26, 2001 at 11:46 am