Hospital Reimbursement Notifications

Hospital Rate Sheets

• Hospital Rate Sheets Effective January 1, 2023
  
• Hospital Rate Sheets Effective July 1, 2022
  
• Hospital Rate Sheets Effective July 1, 2021​
• Hospital Rate Sheets Effective July 1, 2020
• Hospital Rate Sheets Effective July 1, 2019
• Hospital Rate Sheets Updated March 8, 2019
• Hospital Rate Sheets Effective July 1, 2018
• Hospital Rate Sheets Effective January 1, 2018
• Critical Access Hospital Rate Sheets Effective July 1, 2017
• Hospital Rate Sheets Effective January 1, 2017
• Critical Access Hospital Rate Sheets Effective July 1, 2016
• Hospital Rate Sheets Effective January 1, 2016
  
• Critical Access Hospital Rate Sheets Effective July 1, 2015
• Hospital Rate Sheets Effective January 1, 2015

DSH - MPA - MHVA Determination

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

Supplemental Payment Programs  

• Proposed Fee For Service Supplemental Payments (pdf)

Safety Net Determination

• Safety Net Determination effective 10/01/2022 
  
• Safety Net Determination effective 10/01/2021
• 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

Safety Net Obstetrical Supplemental Payment Program

• FY 2023 Distribution Methodology (pdf)
  

Outpatient High Volume Determination

• Outpatient High Volume Determination effective 01/01/2023
• Outpatient High Volume Determination effective 07/01/2022
  
• Outpatient High Volume Determination effective 07/01/2021​
• Outpatient High Volume Determination effective 07/01/2020

Directed Payment and Passthrough Reports  

• Directed Payment Calculations 04/01/2023 - 06/30/2023 
  
• Directed Payment and Passthrough 04/01/2023 - 06/30/2023 (pdf)
  
• Directed Payment Calculations 01/01/2023 - 03/31/2023
  
• Directed Payment and Passthrough 01/01/2023 - 03/31/2023 (pdf)
  
• Hospital Assessment Adjustment Calculation Effective 01/01/2023 (pdf)
• Calendar Year 2023 Passthrough (pdf)
• Directed Payment Pool Amounts and Fixed Rates Effective 01/01/2023 (pdf)
• Directed Payment Calculations 10/01/2022 - 12/31/2022 
  
• Directed Payment and Passthrough 10/01/2022 - 12/31/2022 (pdf)
  
• Directed Payment Calculations 07/01/2022 - 09/30/2022
  
• Directed Payment and Passthrough 07/01/2022 - 09/30/2022 (pdf)
  
• Hospital Assessment Adjustment Calculation Effective 07/01/2022 (pdf)
  
• Directed Payment Calculations 04/01/2022 - 06/30/2022 
  
• Directed Payment and Passthrough 04/01/2022 - 06/30/2022 (pdf)
  
• Directed Payment Calculations 01/01/2022 – 03/31/2022
  
• Directed Payment and Passthrough 01/01/2022 – 03/31/2022 (pdf)
  
• Calendar Year 2022 Passthrough (pdf)
• Directed Payment Pool Amounts and Fixed Rates Effective 01/01/2022 (pdf)
• Directed Payment Notification Effective 01/01/2022 (pdf)
• Hospital Assessment Adjustment Calculation Effective 01/01/2022 (pdf)
• Directed Payment Calculations 10/01/2021 - 12/31/2021 
• Directed Payment and Passthrough 10/01/2021 - 12/31/2021 (pdf)
  
• 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
• Directed Payment and Passthrough 07/01/2020 - 09/30/2020 (pdf) 
  

• FY 2022 Distribution Methodology (pdf)