The successful contractor shall assist the County with the provision of all services needed to develop the County's Hospital Fee Program, and if the Hospital Fee Program is approved by the State and Federal governments, the contractor shall assist the County with the provision of all services needed to implement the Hospital Fee Program. As discussed above, interested contractors shall familiarize themselves with the statutory and regulatory requirements applicable to the County's participation in the Hospital Fee Program. The following scope of services is based on the County's interpretation and understanding of the County's requirements related to the Hospital Fee Program. Interested contractors are permitted to identify in the Exceptions Form any additional services that may be required to successfully perform the Hospital Fee Program or to identify any services that should be excluded from the County's Scope of Services. It is believed that two (2) entities/hospitals located within Cumberland County would meet the eligibility requirements to participate in the County's Hospital Fee Pilot Program. The County is requesting the following services: A. Development of Hospital Fee Program 1. Develop and Draft the County's Fee and Expenditure Report for submission to the State. The County must submit a proposed fee and expenditure report to the NJ Department of Human Services for review and approval. As required by rule, the fee and expenditure report shall include the following criteria: • An overview of the fee and expenditure plan described in the fee and expenditure report; • A list of all hospitals within the jurisdiction and their facility type • The proposed fee methodology; • The proposed expenditure methodology; • Source documentation for the data used to create the fee and expenditure report; • Any and all facilities the county requests to exclude from the fee with the rationale for those exclusions; • A delineation of the percentage of the fee proceeds that the county proposes to: (i) transfer to the NJ Department of Human Services to cover State administrative costs; and (ii) transfer to the NJ Department of Human Services to be used as non-Federal share of Medicaid/NJ Family Care payments to hospitals in the participating County; and • A submission of the County's prospective hospital specific disproportionate share payment limit (DSH limit) calculation with supporting documentation for each hospital subject to the hospital fee. The contractor shall: a. Draft the fee and expenditure report for the County consistent with the criteria listed above and any other Federal and State requirements. b. Determine the classes of hospital facilities, the specific hospitals in each class, and identify the required characteristics of each hospital, that will be subject to the hospital fee c. Identify specific hospitals that will be excluded from the imposition of the hospital fee and develop the rationale for all exclusions. d. Facilitate and lead meetings with local hospitals that will be subject to the Hospital Fee Program. Document local hospital input for inclusion into the fee and expenditure report, as may be required by rule. e. Develop the fee methodology. This includes presenting the County with fee methodologies and assisting the County to determine the best methodology. f. Develop the expenditure methodology including the sharing of proceeds. This includes presenting the County with expenditure methodologies and assisting the County to determine the best methodology. g. Calculate the prospective hospital specific disproportionate share payment limit (DSH limit) for each hospital subject to the hospital fee. h. Prepare data requests to the NJ Department of Human Services, as may be required. i. Prepare data requests to local hospitals, as may be required. j. Maintain adequate work papers and supporting documentation, as may be required. 2. Assistance with the Development and Drafting of the County's Ordinance or Resolution for County Board of County Commissioners Approval. ...
