Medicaid regulation of governmental providers / Elicia J. Herz.

Format:

Book

Government document

Author/Creator:

Herz, Elicia J., 1954- author.

Series:

CRS report for Congress.

CRS report for Congress

Language:

English

Subjects (All):

Medical policy--United States.

Medical policy.

Medicaid--Finance.

Medicaid.

Physical Description:

1 online resource (6 pages).

Place of Publication:

Washington, District of Columbia : Congressional Research Service, 2009.

Summary:

The rule clarifies the types of intergovernmental transfers of funds allowable for financing a portion of Medicaid costs, imposes a limit on Medicaid reimbursements for government-owned hospitals and other institutional providers, and requires certain providers to retain all of their Medicaid reimbursements. [...] The explanation of the regulation goes on to state, "If the unit of government merely uses its funds to reimburse the health care provider for the provision of Medicaid or other services, that alone is not sufficient to demonstrate that the entity is a unit of government."5 . [...] Prior regulations, in defining the types of public funds that may be available to fund the state share of Medicaid costs, establish that funds "transferred from other public agencies"6 to the state or local agency and under the state's administrative control can be used to fund the state share of Medicaid. [...] The rule would remove the term "public agency" from prior regulations and replace it with the phrase "other units of government (including Indian tribes)" reflecting the statutory language of Section 1903(w)(7)(G) of the SSA. [...] The documentation must at least identify the category of spending under the state Medicaid plan, explain whether the contributing unit of government is exempted from the current law limits on the use of provider taxes or donations,7 identify actual costs incurred by the unit of government in providing Medicaid services, and demonstrate that the funds are not from federal funds nor are authorized b.

Notes:

Description based on publisher supplied metadata and other sources.