Hospital Reimbursement Notifications

Hospital Rate Sheets

DSH - MPA - MHVA Determination

The Disproportionate Share (DSH), Medicaid Percentage Adjustment (MPA), and Medicaid High Volume Adjustment (MHVA) determinations are available in PDF format. 

• RY 2022 DSH - MPA - MHVA Determination
  
• RY 2021 DSH - MPA - MHVA Determination
• RY 2020 DSH - MPA - MHVA Determination
• RY 2019 DSH - MPA - MHVA Determination
• RY 2018 DSH - MPA - MHVA Determination
• RY 2017 DSH - MPA - MHVA Determination
• RY 2016 DSH - MPA - MHVA Determination
• RY 2015 DSH - MPA - MHVA Determination – Revised
• RY 2015 DSH - MPA - MHVA Determination
• RY 2014 DSH - MPA - MHVA Determination
• RY 2013 DSH - MPA - MHVA Determination
• RY 2012 DSH - MPA - MHVA Determination
• RY 2011 DSH - MPA - MHVA Determination

Supplemental Payment Programs  

Safety Net Determination

• Safety Net Determination effective 10/01/2020
• Safety Net Determination effective 10/01/2019
• Safety Net Determination effective 10/01/2018
• Safety Net Determination effective 10/01/2017
• Safety Net Determination effective 10/01/2016
• Safety Net Determination effective 10/01/2015

Outpatient High Volume Determination

• Outpatient High Volume Determination effective 07/01/2021​

• Outpatient High Volume Determination effective 07/01/2020

Directed Payment and Passthrough Reports  

• Directed Payment Calculations 07/01/2021 - 09/30/2021 

• Directed Payment and Passthrough 07/01/2021 - 09/30/2021 (pdf)​

• Directed Payment Calculations 04/01/2021 - 06/30/2021 ​

• Directed Payment and Passthrough 04/01/2021 - 06/30/2021 (pdf)​​​

• Calendar Year 2021 Passthrough (pdf)

• Directed Payment Pool Amounts and Fixed Rates Effective 01/01/2021 (pdf)

• Directed Payment Calculations 01/01/2021 – 03/31/2021

• Directed Payment and Passthrough Effective 01/01/2021 - 03/31/2021 (pdf)

• Directed Payment Notification Effective 01/01/2021 (pdf)

• Directed Payments and Passthrough 10/01/2020 - 12/31/2020 (pdf)

• Directed Payment Calculations 10/01/2020 – 12/31/2020

• Directed Payment Calculations 07/01/2020 - 09/30/2020

• Direct Payment and Passthrough 07/01/2020 - 09/30/2020 (pdf)