THIS SECTION WAS AMENDED BY ACT 2022-127 IN THE 2022 REGULAR SESSION, EFFECTIVE OCTOBER 1, 2022. THIS IS NOT IN THE CURRENT CODE SUPPLEMENT.
(a) Beginning on October 1, 2016, and ending on September 30, 2025, publicly owned and state-owned hospitals shall begin making intergovernmental transfers to the Medicaid Agency. If the agency begins making payments pursuant to Article 9 of Chapter 6 of Title 22, on or before September 30, 2019, the amount of the intergovernmental transfers shall be calculated for each hospital using a pro-rata basis based on the hospital's IGT contribution for FY 2018 in relation to the total IGT for FY 2018. Total IGTs for any given fiscal year shall not exceed three hundred thirty-three million, four hundred thirty-four thousand, and forty-eight dollars ($333,434,048) with the exception of an adjustment as described in subsection (d) and to the extent adjustments are required to comply with federal regulations or terms of any waiver issued by the federal government relating to the state's Medicaid program. The total intergovernmental transfers shall equal and shall not exceed the amount of state funds necessary for the agency to obtain only those federal matching funds necessary to pay publicly owned and state-owned hospitals for hospital payments. If the agency does not begin making payments pursuant to Article 9 of Chapter 6 of Title 22, on or before September 30, 2022, the total intergovernmental transfers shall equal the amount of state funds necessary for the agency to obtain only those federal matching funds necessary to pay publicly owned and state-owned hospitals for hospital payments.
(b) These intergovernmental transfers shall be made in compliance with 42 U.S.C. ยง 1396b.(w).
(c) If a publicly or state-owned hospital commences operations after October 1, 2013, the hospital shall commence making intergovernmental transfers to the Medicaid Agency in the first full month of operation of the hospital after October 1, 2013.
(d) If the Medicaid Agency begins making payments pursuant to Article 9 of Chapter 6 of Title 22, on or before September 30, 2019, notwithstanding any other provision of this article, a private hospital that is subject to payment of the assessment pursuant to this article at the beginning of a state fiscal year, but during the state fiscal year experiences a change in status so that it is subject to the intergovernmental transfer computed under this article, it shall continue to pay the same amount as calculated in Section 40-26B-71, but in the form of an intergovernmental transfer.
Structure Code of Alabama
Title 40 - Revenue and Taxation.
Chapter 26B - Providers of Medical Services Privilege Tax.
Article 5 - Hospital Funding Program.
Section 40-26B-70 - Definitions.
Section 40-26B-71 - Assessment.
Section 40-26B-72 - Program Administration.
Section 40-26B-73 - Hospital Assessment Account.
Section 40-26B-74 - Private Hospital Assessment.
Section 40-26B-75 - Quarterly Notice and Collection.
Section 40-26B-76 - Notice of Assessment.
Section 40-26B-77 - Hospital Certified Public Expenditures.
Section 40-26B-77.1 - Intergovernmental Transfers to the Medicaid Agency.
Section 40-26B-78 - Certified Public Expenditure Accounting.
Section 40-26B-79 - Inpatient Medicaid Base Payments.
Section 40-26B-80 - Outpatient Medicaid Base Payments.
Section 40-26B-81 - Medicaid Hospital Access Payments.
Section 40-26B-82 - Effectiveness and Cessation.
Section 40-26B-83 - State Plan Amendment.
Section 40-26B-84 - Federal Medical Assistance Percentage.
Section 40-26B-85 - Eligibility and Benefit Expansions.
Section 40-26B-86 - Disproportionate Share Payments.