UNCOMPENSATED CARE. 37. Overview. The Tax Relief and Health Care Act of 2006 (TRHCA 2006) established a FY 2007 disproportionate share hospital (DSH) allotment for Hawaii. The DSH program established in Hawaii pursuant to TRHCA 2006 must be a State Plan program that is not part of QUEST Budget Neutrality. Federal financial participation for hospital uncompensated care (UCC) payments described in this section are separate from the State Plan DSH program, will be provided as set forth below and must be reported under budget neutrality as a demonstration expenditure. The State must make DSH and UCC payments directly to the providers of the services as specified at section 1923(i) of the Act. If Congress establishes a DSH allotment for Hawaii for any subsequent Federal fiscal year, DSH payments made by the State must be made on the basis of a State Plan amendment approved by CMS. Any future statutory DSH allotments will require reconsideration of the budget neutrality agreement. When determining hospital specific DSH limits and DSH payments, the State must take into account all Medicaid State Plan payments including Demonstration projects including UCC amounts paid to hospitals under this section, as well as any payments by or on behalf of individuals with no source of third-party coverage.
UNCOMPENSATED CARE. Developer acknowledges that it currently realizes significant uncompensated care losses and that it expects to absorb additional uncompensated care losses that will occur as a direct result of the Expanded Hospital. Each year during the first five (5) years following the date that the Expanded Hospital is fully operational and servicing patients, Developer shall provide a report to CRIO detailing the amount of uncompensated care provided to patients who are Detroit residents, to the extent practicable and permitted by Applicable Law. X
