49.45(6w)(b)
(b) Based on the amount estimated available under par.
(a), develop a method to distribute this allocation to the individual hospitals that have incurred operating deficits that shall include:
49.45(6w)(b)1.
1. Development of criteria for determining operating deficits.
49.45(6w)(b)2.
2. With respect to funds to match federal medicaid matching funds under this section, any of the following, as applicable:
49.45(6w)(b)2.a.
a. Provision by the state of matching funds from general purpose revenues for a hospital operated by the state.
49.45(6w)(b)2.b.
b. Agreement to provide matching funds by the county in which is located a hospital established under s.
49.71.
49.45(6w)(b)2.c.
c. Agreement to provide matching funds by the city or village that owns and operates a hospital.
49.45(6w)(b)3.
3. Consideration of the size of a hospital's operating deficit.
49.45(6w)(c)
(c) Except as provided in par.
(d), distribute the allocation under the distribution method that is developed.
49.45(6w)(d)
(d) If the federal department of health and human services approves for state expenditure in a fiscal year amounts under s.
20.435 (4) (o) that result in a lesser allocation amount than that allocated under this subsection or disallows use of the allocation of federal medicaid funds under par.
(c), reduce allocations under this subsection and distribute on a prorated basis, as determined by the department.
49.45(6x)
(6x) Funding for essential access city hospital. 49.45(6x)(a)(a) Notwithstanding sub.
(3) (e), from the appropriation accounts under s.
20.435 (4) (b),
(gm),
(o), and
(w), the department shall distribute all of the following, except that the department may not allocate funds to a hospital to the extent that the allocation would exceed any limitation under
42 USC 1396b (i) (3):
49.45(6x)(a)1.
1. Not more than $2,997,700 in fiscal year 2011-12 and not more than $2,988,700 in each fiscal year after fiscal year 2011-12 to an essential access city hospital that has previously received the supplemental payment for being an essential access city hospital.
49.45(6x)(a)2.
2. Not more than $999,200 in fiscal year 2011-12 and not more than $996,200 in each fiscal year after fiscal year 2011-12 to a hospital that would qualify for an essential access city hospital supplemental payment, under the criteria described in the 2010-11 inpatient hospital state plan, except that the hospital did not meet the criteria to be an essential access city hospital during fiscal year 1995-96.
49.45(6x)(a)3.
3. If the federal department of health and human services allows the payment, $300,000 from the appropriation account under s.
20.435 (4) (b) annually to a hospital that meets all of the following criteria:
49.45(6x)(a)3.a.
a. The hospital is located in a city that has a municipal border that is also a state border.
49.45(6x)(a)3.b.
b. The hospital has a Medical Assistance recipient patient mix that consists of at least 25 percent of residents from a state that borders this state.
49.45(6x)(a)3.c.
c. The hospital is located in a city with a poverty level, as determined from the 2000 U.S. census, that is greater than 5 percent.
49.45(6x)(a)3.d.
d. The hospital is located in a city with a population of less than 15,000 people.
49.45(6x)(b)
(b) The department shall develop procedures for solicitation and review of requests for funds and a method to distribute the funds under par.
(a) to an individual hospital that shall include establishment of criteria for the designation as an essential access city hospital.
49.45(6x)(c)
(c) Except as provided in par.
(d), the department shall distribute the funds under par.
(a) under the distribution method that is developed under par.
(b).
49.45(6x)(d)
(d) If the federal department of health and human services approves for state expenditure in any state fiscal year amounts under s.
20.435 (4) (o) that result in a lesser distribution amount than that distributed under this subsection or disallows use of federal medicaid funds under par.
(a), the department of health services shall reduce the distributions under this subsection.
49.45(6x)(e)
(e) The department need not promulgate as rules under ch.
227 the procedures, method of distribution and criteria required for distribution under this subsection.
49.45(6y)
(6y) Supplemental funding for certain hospitals. 49.45(6y)(a)(a) Notwithstanding sub.
(3) (e), from the appropriation accounts under s.
20.435 (4) (b),
(gm),
(o), and
(w), the department may distribute funding in each fiscal year to provide supplemental payment to hospitals that enter into a contract under s.
49.02 (2) to provide health care services funded by a relief block grant, as determined by the department, for hospital services that are not in excess of the hospitals' customary charges for the services, as limited under
42 USC 1396b (i) (3). If no relief block grant is awarded under this chapter or if the allocation of funds to such hospitals would exceed any limitation under
42 USC 1396b (i) (3), the department may distribute funds to hospitals that have not entered into a contract under s.
49.02 (2).
49.45(6y)(ap)
(ap) Notwithstanding sub.
(3) (e), from the appropriation accounts under s.
20.435 (4) (o) and
(xc), the department shall distribute not more than $8,000,000 in each fiscal year as supplemental payments to hospitals that satisfy the criteria established by the American College of Surgeons for classification as a Level I adult trauma center, except that the department may not make payments that exceed limitations based on customary charges under
42 USC 1396b (i) (3).
49.45(6y)(ar)
(ar) Notwithstanding sub.
(3) (e), the department may, from the appropriation account under s.
20.435 (4) (xc), make supplemental payments to hospitals based on hospital performance, in accordance with a payment methodology developed by the department, except that the department may not make payments that exceed limitations based on customary charges under
42 USC 1396b (i) (3).
49.45(6y)(b)
(b) The department need not promulgate as rules under ch.
227 the procedures, methods of distribution, and criteria required for distribution under par.
(a).
49.45(6z)
(6z) Supplemental funding for certain hospitals serving low-income patients. 49.45(6z)(a)
(a) Notwithstanding sub.
(3) (e), from the appropriation accounts under s.
20.435 (4) (b),
(gm),
(o), and
(w), the department may distribute funding in each fiscal year to supplement payment for services to hospitals that enter into indigent care agreements, in accordance with the approved state plan for services under
42 USC 1396a, with relief agencies that administer the medical relief block grant under this chapter, if the department determines that the hospitals serve a disproportionate number of low-income patients with special needs. If no medical relief block grant under this chapter is awarded or if the allocation of funds to such hospitals would exceed any limitation under
42 USC 1396b (i) (3), the department may distribute funds to hospitals that have not entered into indigent care agreements. The department may not distribute funds under this subsection to the extent that the distribution would do any of the following: