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Program D: Uncompensated Care Costs Payments

PROGRAM DESCRIPTION

The mission of the Uncompensated Care Costs (UCC) Payments Program is to provide payments for uncompensated care costs, formerly known as disproportionate share (DSH) payments.

The goal of the Uncompensated Care Costs Payments program is to provide payments to the following: LSU Medical Center, LSU Medical Center Health Care Services Division, DHH Psychiatric Hospitals, and Private Hospitals.

Federal law requires that Medicaid UCC payments be made to qualifying hospitals. Under federal law, UCC payments to each UCC hospital may not exceed that individual hospital's uncompensated costs. The state has the flexibility in varying payment methodologies according to type of hospital as long as certain criteria mandated by federal regulations are met.

OBJECTIVES AND PERFORMANCE INDICATORS

1. In FY 1998-99, the Uncompensated Care Costs Program will provide access to medical care to the uninsured and the underinsured.

1 Amounts rounded.

SOURCE OF FUNDING

This program is funded with general fund, statutory dedications, and federal funds. The statutory dedication is the Louisiana Medical Assistance Trust Fund from provider fees. (Per R.S.39:32B.(8), see table below for a listing of expenditures out of each statutory dedicated fund.) Federal funds represent federal financial participation in the Medicaid program.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$207,089,191

$698,681,483

0

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$82,893

$279,666

0

 

Transfer between Private Providers and Uncompensated Care Costs to budget for Villa Feliciana's BA-7 (#282)

 

 

 

 

 

$207,172,084

$698,961,149

0

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

$5,000,000

 

 

Annualization of SB500's initiatives for Rural Hospitals

$489,273

$0

0

 

Means of Financing Substitution(s) - Replace federal funds with general fund for the Federal Medical Assistance Percentage (FMAP) change in state match rate from 29.64% to 29.71%

$4,525,953

$27,510,902

0

 

Adjustment(s) to balance to the public agencies' budget

$2,370,400

$8,000,000

0

 

Adjustment(s) for funds transferred from the Payments to Public Providers program to more accurately reflect the sources of revenue for the LSU Medical Center

$26,667

$90,000

0

 

Adjustment(s) to restore funding to the New Orleans Adolescent Hospital

$163,854

$553,000

0

 

Adjustment(s) to restore funding to the East Louisiana State Hospital

$480,834

$1,622,796

0

 

Adjustment(s) to restore funding to the Southeast Louisiana State Hospital

$4,840,895

$16,337,816

0

 

Adjustment(s) to restore funding to the Louisiana State University Medical Center Health Care Services Division facilities for salaries and Year 2000 Phone Systems Upgrades

$0

$15,000,000

0

 

Adjustment(s) to counter an existing operating budget deficit resulting from UCC payments to the private institutions

 

 

 

 

 

$220,069,960

$773,075,663

0

 

TOTAL RECOMMENDED

 

 

 

 

 

$12,897,876

$74,114,514

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 110.5% of the existing operating budget. It represents 107.5% of the total request ($718,681,483) for this program. The major changes include the following adjustments: the annualization of SB500's initiatives for rural hospitals; the adjustment to balance this budget to the budgets of the public agencies utilizing uncompensated care; the transfer in of funds for the LSU Medical Center Health Care Services Division; and the addition due to the deficit in the existing operating budget.

PROFESSIONAL SERVICES

This program does not have funding for Professional Services for Fiscal Year 1998-1999.

OTHER CHARGES

$31,014,289

 

Uncompensated care cost pool payments to private providers

 

 

 

$31,014,289

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$108,111,118

 

Uncompensated care cost pool payments to the LSU Medical Center

$545,066,290

 

Uncompensated care cost pool payments to the LSU Medical Center, Health Care Services Division

$367,332

 

Uncompensated care cost pool payments to Villa Feliciana Chronic Disease Hospital

$88,516,634

 

Uncompensated care cost pool payments to the Office of Mental Health

 

 

 

$742,061,374

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

This program does not have funding for Acquisitions and Major Repairs for Fiscal Year 1998-1999.


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