Authority: IC 12-15-1-10; IC 12-15-21-2; IC 16-21-10-16
Affected: IC 16-21-10
Sec. 5. The base hospital assessment fee (HAF) is calculated as follows:
- STEP ONE: Determine the state share amount of increased reimbursement under IC 16-21-10-8 for the upcoming fiscal year based on projected Medicaid costs.
- STEP TWO: Determine the state share amount of DSH payments under IC 16-21-10-11 for the upcoming fiscal year based on projected Medicaid costs by taking the federal allotment of DSH payments given to the state and dividing that amount by the current Federal Medical Assistance Percentage and subtracting the federal allotment of DSH payments.
- STEP THREE: Add the state share amounts from STEP ONE and STEP TWO, less the state share for individuals who are dual eligible for Medicare and Medicaid, divide that sum by the percentage contained in IC 16-21-10-14 for hospitals, and add back the state share amount for individuals who are dual eligible to determine the total amount of the base HAF owed for the upcoming fiscal year.
(Office of the Secretary of Family and Social Services; 405 IAC 1-22-5; filed May 16, 2025, 11:09 a.m.: 20250611-IR-405240493FRA)