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the fraction, expressed as a percentage, of which the numerator is the total number of Medicaid-eligible inpatient days for all hospitals in this state for their qualifying year and the denominator is the total number of inpatient days for all hospitals in this state for their qualifying year;

(2) payments allocated to each low-income DSH (LI DSH), if the qualifying hospital has a low-income utilization rate exceeding 25 percent; for purposes of this paragraph, the low-income utilization rate is calculated as the sum of

(A) the fraction, expressed as a percentage, of which the numerator is the sum of the total Medicaid hospital revenue paid to the qualifying hospital for patient services provided to Medicaid-eligible patients in this state in the hospital’s qualifying year and the amount of cash subsidies received directly from the state or from local governments for patient services provided in this state in the hospital’s qualifying year, and the denominator is the total amount of hospital revenue for services, including the amount of cash subsidies specified in this subparagraph for that hospital’s qualifying year; and

(B) the fraction, expressed as a percentage, of which the numerator is the total amount of the qualifying hospital’s charges for inpatient hospital services attributable to charity care for the hospital’s qualifying year, less the portion of any cash subsidies received directly from the state or from local governments for inpatient hospital services, and the denominator is the total amount of the hospital’s charges for inpatient services for the hospital’s qualifying year; for a state-owned qualifying hospital that does not have a charge structure, the hospital’s charges for charity care are equal to the cash subsidies received by the hospital from the state or from local governments;

(3) payments allocated to each designated evaluation and treatment DSH (DET DSH), if the qualifying hospital

(A) is designated as an evaluation and treatment facility as required by 7 AAC 72;

(B) enters into an agreement with the department to provide designated evaluation and treatment services and complies with the requirements of that agreement; and

(C) not later than 60 days after the end of each payment period, provides documentation to the department of the qualifying patients as defined in the agreement made under (B) of this paragraph; that documentation must include the number of encounters, the crisis category, the diagnosis at discharge, the provider and location of referral after discharge, and payment source information;

(4) payments allocated to each designated evaluation and stabilization DSH (DES DSH) if the qualifying hospital

(A) is designated as an evaluation and stabilization facility as required by 7 AAC 72;

(B) enters into an agreement with the department to provide designated evaluation and stabilization treatment services and complies with the requirements of that agreement; and