Budget Amendment ID: FY2016-S3-791-R1

Redraft EHS 791

Disproportionate Share Hospital (DSH) Medicaid Funding

Mr. Welch, Mrs. L'Italien, Ms. Flanagan, Mr. Eldridge, Ms. Gobi, Messrs. Humason and Lewis, Ms. O'Connor Ives, Messrs. Moore, Montigny, Wolf, Brownsberger, Lesser, Ross and Timilty, Ms. Forry, Messrs. Downing and Kennedy moved that the proposed new text be amended in section 2, in item 4000-0700, by inserting after the word “coverage;” the following words:- "provided further, that not later than May 1, 2016, MassHealth shall provide not less than $3,948,705 for an 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, that not later than May 1, 2016, MassHealth shall provide a supplemental payment of $2,051,295 for inpatient and outpatient behavioral and mental health services provided by acute care hospitals that have greater than 63 per cent of gross patient service revenue from governmental payers and free care as determined by the executive office of health and human services, provided, however, that such add on amounts shall be prioritized for services to children and adolescents;”