Amendment #472 to H4200

Reimbursement Rates for DSH Hospitals

Representatives Vega of Holyoke, Boldyga of Southwick, Carvalho of Boston, Cullinane of Boston, DiZoglio of Methuen, Donahue of Worcester, Finn of West Springfield, Gonzalez of Springfield, Hecht of Watertown, Lawn of Watertown, Mahoney of Worcester, Mannal of Barnstable, Nangle of Lowell, Puppolo of Springfield, Rogers of Cambridge, Sannicandro of Ashland, Scibak of South Hadley, Toomey of Cambridge, Tosado of Springfield and Wagner of Chicopee move to amend the bill in section 2, in item 4000-0700, in line number 37, by inserting after the word “provider” the following: “; provided further, that MassHealth shall provide an additional increase to reimbursement rates for any acute care hospital that has greater than 63 per cent of its gross patient service revenue from governmental payers and free care as determined by the executive office of health and human services in the amount of 10 per cent added to its adjudicated payment amount per discharge, or APAD, and 5 per cent added to its outpatient payment amount per episode or PAPE, or of reimbursement provided under any subsequent outpatient payment methodologies; provided further, MassHealth shall provide a supplemental payment of at least $12,307,769 for inpatient and outpatient behavioral and mental health services provided by any acute care hospital that that has greater than 63 per cent of its gross patient service revenue from governmental payers and free care as determined by the executive office of health and human service, provided, however, that such add on amounts shall be prioritized for services provided to children and adolescents” and in said item by striking out the figures “$2,434,238,433” and inserting the figures “$2,446,546,202”

Additional co-sponsor(s) added to Amendment #472 to H4200

Reimbursement Rates for DSH Hospitals