Agencies
Services
Hospital Reimbursement Notifications
Hospital Rate Sheets
- Hospital Rate Sheets Effective August 1, 2023
- 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.
- RY 2024 DSH - MPA - MHVA Determination
- RY 2023 DSH - MPA - MHVA Determination
- 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 10/01/2023
- 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
Outpatient High Volume Determination
Directed Payment and Passthrough Reports
- Directed Payment and Passthrough Calculations -10/01/2023 – 12/31/2023
- Directed Payment and Passthrough 10/01/2023 - 12/31/2023 (pdf)
- Directed Payment Calculations 07/01/2023 – 09/30/2023
- Directed Payment and Passthrough 07/01/2023 –09/30/2023 (pdf)
- Hospital Assessment Adjustment Calculation Effective 07/01/2023 (pdf)
- 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
- 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)