[HISTORY: Adopted by the City Council of the City of Galax 9-14-2020. Amendments noted where applicable.]
A.
This chapter is adopted pursuant to the authority granted to municipal
corporations by Code of Virginia, § 15.2-1104.
B.
The purpose of these provisions is to enact a local hospital provider
assessment in the City of Galax to assess a fee on the nonpublic hospital
in the City of Galax to fund the nonfederal share of the Medicaid
supplemental payment programs authorized in Medicaid State Plan Amendments
11-018 and 11-019.
As used in this chapter, the following terms shall have the
meanings indicated:
The City of Galax.
The City Council of the City of Galax.
The assessment that a nonpublic hospital is required to pay
under this chapter.
The amount as indicated on a nonpublic hospital's Medicare
cost report, also known as "Form CMS-2252-10" or the "Hospital and
Hospital Health Care Complex Cost Report Certification and Settlement
Summary." The net patient revenue is located on line 3 of the Worksheet
G-3.
A privately owned hospital located in the City that provides
inpatient and outpatient hospital services.
A.
All revenue received by the City pursuant to this Chapter 74 is authorized only to fund the following uses:
(1)
Fund intergovernmental transfers from the City to the Department
of Medical Assistance Services to provide the nonfederal share of
Medicaid payments for supplemental payments authorized under Medicaid
State Plan Amendments 11-018 and 11-019 ;
(2)
Refund a fee collected in error from a nonpublic hospital; and
(3)
Refund to a nonpublic hospital any portion of the fee the City receives
from the Department of Medical Assistance Services that is not used
to fund the nonfederal share of Medicaid supplemental payment program
payments under State Plan Amendments 11-018 or 11-019; or determines
cannot be used to fund the nonfederal share of Medicaid supplemental
payment program payments under State Plan Amendments 11-018 or 11-019.
B.
Notwithstanding any other provision of this section, with respect
to an intergovernmental transfer of funds described by Subsection
A(l) made by the City, any funds received by the City as a result
of the transfer may not be used by the City to fund the nonfederal
share of payments available through Medicaid programs other than those
outlined in State Plan Amendments 11-018 and 11-019.
A.
The City Council may require a fee to be assessed on the inpatient
and outpatient net patient revenue of any nonpublic hospital located
in the City. The City may assess the fee periodically throughout the
year by resolution duly adopted. In the first year in which the fee
is required, the fee is assessed on the inpatient and outpatient net
patient revenue. If the Medicare cost report information is unavailable
for the nonpublic hospital, the fee may be assessed on the net patient
revenue of the nonpublic hospital as determined by the data reported
to the State Department of Health under Code of Virginia, § 32.1-276.2
in accordance with the state's instructions for reporting inpatient
and outpatient revenue for the most recent fiscal year for which that
data was reported.
B.
A nonpublic hospital may not add any portion of an assessment required
under this section as a surcharge to a patient.
