Section 10227.113 - Hospital health clinics(a)ProgramThe Department of Public Welfare shall, in cooperation with the department, be responsible for administering the program as it relates to hospital health clinics in accordance with the requirements of this act and shall have the following additional duties:
(1) To develop an application and collect such data and information as may be necessary to determine the eligibility of hospital health clinics for payments under this section using the criteria set forth in section 111(a) and (b). (2) To review an application and make a final determination regarding a hospital health clinic's eligibility for funding within 90 days of receipt. (3) To make payments to hospital health clinics in accordance with the payment calculation set forth in subsection (e). (b)Submission of applicationIn order to qualify for funding under this section, a hospital health clinic shall submit the required application to the Department of Public Welfare no later than 90 days after the effective date of this act.
(c)Funding(1) For each fiscal year, upon Federal approval of an amendment to the Medicaid State plan, the Department of Public Welfare shall annually distribute any available funds obtained under this act for hospital health clinics through disproportionate share payments to hospitals to provide financial assistance that will assure readily available and coordinated comprehensive health care to the citizens of this Commonwealth. (2) The Secretary of Public Welfare shall determine the funds available and make appropriate adjustments based on the number of qualifying hospitals with hospital health clinics. (d)MaximizationThe Department of Public Welfare shall seek to maximize any Federal funds, including funds obtained under Title XIX of the Social Security Act (49 Stat. 620, 42 U.S.C.§ 1396 et seq.).
(e)Payment calculation(1) Thirty percent of the total amount available shall be allocated to eligible hospital health clinics of hospitals located in counties of the first and second class. The total amount available for each hospital health clinic at a hospital in these counties shall be allocated on the basis of each hospital's percentage of medical assistance and low-income hospital health clinic visits compared to the total number of medical assistance and low-income hospital health clinic visits for all hospitals in the first and second class counties. (2) Fifty percent of the total amount available shall be allocated to eligible hospital health clinics of hospitals located in counties of the third, fourth and fifth class. The total amount available for each hospital health clinic at a hospital in these counties shall be allocated on the basis of each hospital's percentage of medical assistance and low-income hospital health clinic visits compared to the total number of medical assistance and low-income hospital health clinic visits for all hospitals in the third, fourth and fifth class counties. (3) Twenty percent of the total amount available shall be allocated to eligible hospital health clinics of hospitals located in counties of the sixth, seventh and eighth class. The total amount available for each hospital health clinic at a hospital in these counties shall be allocated on the basis of each hospital's percentage of medical assistance and low-income hospital health clinic visits compared to the total number of medical assistance and low-income hospital health clinic visits for all hospitals in the sixth, seventh and eighth class counties. (4) Any hospital that has reached its disproportionate share limit under Title XIX of the Social Security Act shall receive its share of the State funds available under this act. Added by P.L. 32 2013 No. 10, § 1, eff. 8/19/2013.