For Governmentally-operated Hospitals Sample Clauses

For Governmentally-operated Hospitals. DSH and UCC payments to governmentally operated hospitals will be funded with certified public expenditures (CPE). The State must submit a cost-certification CPE protocol for CMS approval which articulates the procedures and methods the State will use to determine those Hospital Uncompensated Care costs eligible for Federal matching under DSH through the Medicaid State Plan. The UCC payments described in this section must follow the cost determination in the protocol. The CPE method in the protocol must prescribe CPE procedures and methods that follow CMS CPE standards, and are consistent with the CPE procedures and methods approvable by CMS for CPE-funded Medicaid State Plan payments (including hospital Medicaid State Plan supplemental payments and DSH payments). In addition, the CPE method must be updated or changed to come into compliance with any future legislation or CMS regulation or policy change. The CPE method will be in effect for all Demonstration CPE-funded claims (including interim payments, reconciliations to as-filed cost reports, and reconciliations to finalized cost reports) made on or after the approval date of these Special Terms and Conditions. The CPE protocol must be submitted to CMS no later than October 1, 2008 for review and consideration for approval.

For Governmentally-operated Hospitals. UCCs must not include: i. Inpatient Medicaid FFS shortfall for critical access hospitals, as governmental hospitals already receive inpatient payments only up to cost; ii. The costs of providing non emergency care to unqualified aliens, qualified aliens subject to a 5-year ban, and those from countries which have entered into a Compact of Free Association with the U.S; and iii. The costs of providing drugs to individuals eligible for Medicare Part D.