Payment for hospitals (Repealed)

(a) The department, in consultation with the Office of Policy and Management shall, within available appropriations, establish an annual allocation for Connecticut's acute care hospitals and participating border hospitals. (b) The department shall limit annual SAGA medical expenditures to acute care hospitals and participating border hospitals to the annual budgeted amount. (c) The department shall reimburse hospital providers, in aggregate, approximately 1/12th of the annual hospital appropriation each month. The department shall allocate the monthly allotment to each hospital in proportion to its costs incurred in rendering inpatient and outpatient medical services to SAGA recipients. (d) The department shall automatically adjust payments to ensure that the aggregate payment is within the monthly allotment. With each monthly claims cycle, aggregate SAGA hospital medical claims cost shall be compared to the monthly allotment. (1) If the total claims cost of all hospitals is less than the allotment, payment for each claim shall be increased by a percentage such that the resulting total expenditure is equal to the allotment. (2) If the total claims cost of all hospitals is more than the allotment, the payment for each claim shall be reduced by a percentage such that the resulting total expenditure is equal to the allotment. (3) The percentage increase or reduction shall be applied uniformly across hospitals.