Budget Amendment ID: FY2019-S4-653

EHS 653

Western Massachusetts Pediatric Neonatal Intensive Care Unit

Messrs. Lesser, Humason and Welch and Ms. Gobi moved that the proposed new text be amended in section 2, in item 4000-0300, by adding the following words:- “; provided further, that in calculating rates of payment for children enrolled in MassHealth receiving inpatient services at acute care pediatric hospitals and pediatric specialty units as defined in section 8A of chapter 118E of the General Laws, the executive office shall provide additional reimbursement, if necessary, above the base rates, to the Neonatal Intensive Care Unit (NICU) with at least 33 licensed NICU beds and a Pediatric Intensive Care Unit (PICU) with at least 7 licensed PICU beds within an acute hospital that has at least 22 Continuing Care Nursery (CCN) beds and at least 53 Pediatric Service beds in Hampden County, sufficient to ensure that inpatient SPAD and outlier payments for discharges with a case mix acuity equal to or greater than 5 shall be at least equal to 85 per cent of the expenses incurred in providing services to those children, in an amount of not less than $250,000”.