[§346-53.6]  Federally qualified healthcenters; rural health clinics; reimbursement.  (a)  Notwithstanding any lawor waiver to the contrary, federally qualified health centers and rural healthclinics, 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 theSocial Security Act, as that section was originally added in 2000 by section702(b) of Public Law 106-554 and as amended in 2001 by section 2(b)(1) ofPublic Law 107-121, and services of federally qualified health centers andrural health clinics shall remain mandatory services as provided in sections1902(a)(10)(A) and 1905(a)(2)(B) and (C) of the Social Security Act.

(b)  Reimbursement rates paid to federally qualifiedhealth centers may be adjusted if costs exceed 1.75 per cent for changesrelated to the intensity, duration, or amount of service provided, facilities,regulatory requirements, or other extraordinary circumstances; provided thatthe federally qualified health center shall submit to the department anadjusted cost report covering a period of the previous two years.  The directorshall review the filing within a period of sixty days.  The period may beextended by the director for an additional period not to exceed thirty daysupon written notice to the filer.  A filing shall be deemed to be approvedunless disapproved by the director within the initial filing period or anyextension thereof. 

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

 

Note

 

  L 2006, c 297, §3 provides:

  "SECTION 3.  The department of health shall provideresources to nonprofit, community-based health care providers for directmedical care for the uninsured, including primary medical, dental, behavioralhealth care, and ancillary services, including education, follow-up, andoutreach, and pharmacy services.  Distribution of funds may be on a "pervisit" basis, taking into consideration need on all islands."