§ 108A-146.17 – Changes of hospital status.
108A-146.17. Changes of hospital status. (a) For purposes of this section, hospital status includes all of the following: (1) A hospital’s status as a public acute care hospital, a private acute care hospital, or a hospital owned or controlled by the UNC Health Care system. (2) The operating status of an acute care hospital as […]
§ 108A-146.5 – Aggregate assessment collection amount.
108A-146.5. Aggregate assessment collection amount. The aggregate assessment collection amount is an amount of money that is calculated by subtracting the intergovernmental transfer adjustment component under G.S. 108A-146.13 from the sum of all of the following: (1) One-fourth of the State’s annual Medicaid payment. (2) The managed care component under G.S. 108A-146.7. (3) The fee-for-service […]
§ 108A-146.7 – Managed care component.
108A-146.7. Managed care component. (a) The managed care component is an amount of money that is a portion of the total paid capitation for all rating groups in all capitated contracted plan types for the previous data collection period and is calculated in accordance with this section. The managed care component consists of an inpatient […]
§ 108A-146.9 – Fee-for-service component.
108A-146.9. Fee-for-service component. (a) The fee-for-service component is an amount of money that is a portion of all the Medicaid fee-for-service payments made to acute care hospitals during the previous data collection period for claims with a date of service on or after July 1, 2021. The fee-for-service component consists of a subcomponent pertaining to […]
§ 108A-146.11 – Graduate medical education component.
108A-146.11. Graduate medical education component. The graduate medical education component is an amount of money that is one-fourth (1/4) of the total amount of payments that will be made by the Department during the current State fiscal year to all public acute care hospitals and private acute care hospitals in accordance with the Medicaid graduate […]
§ 108A-146.12 – Postpartum coverage component.
108A-146.12. Postpartum coverage component. The postpartum coverage component is twelve million five hundred thousand dollars ($12,500,000) for each quarter of the 2021-2022 State fiscal year. For each subsequent State fiscal year, the postpartum coverage component shall be increased over the prior year’s quarterly amount by the Medicare Economic Index. (2021-180, s. 9D.13A(c).)
§ 108A-146.12A – Home and community-based services component.
108A-146.12A. Home and community-based services component. The home and community-based services component is thirty-five million five hundred thousand dollars ($35,500,000) for each quarter of the 2023-2024 State fiscal year. For each subsequent State fiscal year, the postpartum coverage component shall be increased over the prior year’s quarterly amount by the Medicare Economic Index. (2021-180, s […]
§ 108A-146.13 – Intergovernmental transfer adjustment component.
108A-146.13. Intergovernmental transfer adjustment component. (a) The intergovernmental transfer adjustment component is the sum of all of the following subcomponents: (1) The historical subcomponent is forty-one million two hundred twenty-seven thousand three hundred twenty-one dollars ($41,227,321) for each quarter of the 2021-2022 State fiscal year. For each subsequent State fiscal year, the historical subcomponent shall […]
§ 108A-146.15 – Use of funds.
108A-146.15. Use of funds. The proceeds of the assessments imposed under this Part, and all corresponding matching federal funds, must be used to make the State’s annual Medicaid payment to the State, to fund payments to hospitals made directly by the Department, to fund a portion of capitation payments to prepaid health plans attributable to […]
§ 108A-146.1 – Public hospital assessment.
108A-146.1. Public hospital assessment. (a) The public hospital assessment imposed under this Part shall apply to all public acute care hospitals. (b) The public hospital assessment shall be assessed as a percentage of each public acute care hospital’s hospital costs. The assessment percentage shall be calculated quarterly by the Department of Health and Human Services […]