DOF shall notify every county and the Joint Legislative Budget Committee of its determinations. 20, p. 39-65 Hospital County Details the process to redirect realignment funds. Welfare and Savings Formula Defines technical terms associated with the calculation. Institutions Defines costs. Code Defines the cost containment limit and provides exceptions to that limit. Defines revenues. Article 12 Includes legislative intent that by Sept. 13, 2013, the Legislature shall codify an allocation methodology for other sources of funding that include unrestricted special local health funds (tobacco settlement or special assessment), one-time funds or carry-over funds, and county general purpose revenues. Total revenues and other funds payable for a fiscal year: Medi-Cal revenues + Uninsured revenues + Medicaid demonstration revenues + Hospital fee direct grants + Special local health funds + County indigent health care realignment amount + Imputed county low-income health amount + Imputed gains from other payers + The amount by which the public hospital system county’s cost exceed the cost containment limit (expressed as a negative number) multiplied by .50 MINUS Medi-Cal costs, uninsured costs, other entity IGTs, new mandatory other entity IGTs = Resulting amount shall be multiplied by by .70 in 2013-14 and .80 in 2014-15 and beyond. If the amount is positive, then that amount shall be redirected. If the amount is negative, then the amount shall be zero. The amount to be redirected shall not exceed the county indigent care health realignment amount for that FY. The calculation stays in effect until whichever is later: June 30, 2023 OR the beginning of a FY following two consecutive years when the interim calculation is within 10 percent of the final
DOF shall notify every county and the Joint Legislative Budget Committee of its determinations. 20, p. 39-65 Welfare and Institutions Code Article 12 Hospital County Savings Formula Details the process to redirect realignment funds. Defines technical terms associated with the calculation. Defines costs. Defines the cost containment limit and provides exceptions to that limit. Defines revenues. Includes legislative intent that by Sept. 13, 2013, the Legislature shall codify an allocation methodology for other sources of funding that include unrestricted special local health funds (tobacco settlement or special assessment), one-time funds or carry-over funds, and county general purpose revenues. Total revenues and other funds payable for a fiscal year: Medi-Cal revenues + Uninsured revenues + Medicaid demonstration revenues + Hospital fee direct grants + Special local health funds + County indigent health care realignment amount + Imputed county low-income health amount + Imputed gains from other payers + The amount by which the public hospital system county’s cost exceed the cost containment limit (expressed as a negative number) multiplied by .50 MINUS Medi-Cal costs, uninsured costs, other entity IGTs, new mandatory other entity IGTs = Resulting amount shall be multiplied by by .70 in 2013-14 and .80 in 2014-15 and beyond. If the amount is positive, then that amount shall be redirected. If the amount is negative, then the amount shall be zero. The amount to be redirected shall not exceed the county indigent care health realignment amount for that FY. The calculation stays in effect until whichever is later: June 30, 2023 OR the beginning of a FY following two consecutive years when the interim calculation is within 10 percent of the final
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