(1) Payment of the EH's incentive payment will be made over a four year period with 50% of the amount paid in year one, 30% in year two, 20% in year three, and 10% in year four.

(2) The department adopts and incorporates by reference the formula to calculate an EH's incentive payment amount found in 42 CFR Part 495.310 (2011).

(3) Assignment of payment - a multisite hospital with one CMS certification number is considered one hospital for purposes of calculating payment. Payments will be made to EHS consistent with existing MMIS capabilities. Due to existing MMIS limitations, Montana Medicaid will not make direct incentive payments to any entity that is not recognized as a Montana Medicaid provider.