[§346-53.6]  Federally qualified health
centers; rural health clinics; reimbursement.  (a)  Notwithstanding any law
or waiver to the contrary, federally qualified health centers and rural health
clinics, as defined in section 1905(1) of the Social Security Act (42 U.S.C.
1396 et seq.), shall be reimbursed in accordance with section 1902(bb) of the
Social Security Act, as that section was originally added in 2000 by section
702(b) of Public Law 106-554 and as amended in 2001 by section 2(b)(1) of
Public Law 107-121, and services of federally qualified health centers and
rural health clinics shall remain mandatory services as provided in sections
1902(a)(10)(A) and 1905(a)(2)(B) and (C) of the Social Security Act.



(b)  Reimbursement rates paid to federally qualified
health centers may be adjusted if costs exceed 1.75 per cent for changes
related to the intensity, duration, or amount of service provided, facilities,
regulatory requirements, or other extraordinary circumstances; provided that
the federally qualified health center shall submit to the department an
adjusted cost report covering a period of the previous two years.  The director
shall review the filing within a period of sixty days.  The period may be
extended by the director for an additional period not to exceed thirty days
upon written notice to the filer.  A filing shall be deemed to be approved
unless disapproved by the director within the initial filing period or any
extension thereof. 



(c)  The State may terminate the reimbursement
methodology set forth in this section only in the event that changes in the
relevant sections of the Social Security Act prohibit this reimbursement
methodology. [L 2006, c 297, §2]



 



Note



 



  L 2006, c 297, §3 provides:



  "SECTION 3.  The department of health shall provide
resources to nonprofit, community-based health care providers for direct
medical care for the uninsured, including primary medical, dental, behavioral
health care, and ancillary services, including education, follow-up, and
outreach, and pharmacy services.  Distribution of funds may be on a "per
visit" basis, taking into consideration need on all islands."