Sets the general effective date: the amendments apply to Medicaid DSH payment adjustments under section 1923 of the Social Security Act for Medicaid State plan rate years beginning on or after the date the Act is enacted (unless the special State option rule applies).
deadline
Affects: States administering Medicaid DSH payment adjustments
Gives States an option, for any Medicaid State plan rate year that begins on or after October 1, 2021 and before the Act’s enactment, to use unspent portions of their applicable federal fiscal year DSH allotment to increase hospital payment adjustments for that rate year, if the increase follows the amended section 1923(g) limits and total payment adjustments do not exceed the State’s DSH allotment for the applicable federal fiscal year under section 1923(f).
authorization
Affects: States and hospitals receiving Medicaid DSH payment adjustments
Prohibits a State from recouping any payment adjustment it already made to a hospital for a covered Medicaid State plan rate year if that payment adjustment was consistent with section 1923(g) as in effect on October 1, 2021.
prohibition
Affects: States administering Medicaid DSH payments
Allows a State, only to increase a hospital payment adjustment for a covered Medicaid State plan rate year, to retroactively modify its Medicaid State plan, a waiver, or a State plan amendment related to that rate year; and allows the Secretary to approve the modification.
authorization
Affects: States; Secretary of Health and Human Services
Bars a State from submitting a request to approve a retroactive modification for a Medicaid State plan rate year after the date the State is required to submit the independent certified audit for that rate year.
deadline
Affects: States