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Family and Social Services Administration

Medicaid Policy Home > Disproportionate Share Hospital > Policies & Guidelines Policies & Guidelines

State Plan

Attachment 4.19A pages 1H-1H.1 Inpatient Safety Net Payment
Attachment 4.19A pages 1I-1M Inpatient HCI Payment
Attachment 4.19A pages 2-15 Inpatient DSH Payment
Attachment 4.19A pages 17-18.1 Inpatient Municipal UPL Payment
Attachment 4.19A pages 18.2-18.2(a) Inpatient Private UPL Payments
Attachment 4.19B pages 2.1-2.1(a) Outpatient Safety Net Payment
Attachment 4.19B pages 2.2-2.3 Outpatient Municipal UPL Payment
Attachment 4.19B pages 2.6-2.7 Outpatient Private UPL Payments
Attachment 4.19B pages 2.8-2.12 Outpatient HCI Payment
Attachment 4.19B pages 6-6(e) Outpatient DSH Payments

Medicaid State Plan Amendments

At this time, there are no Medicaid State Plans Amendments (SPA) to post for compliance with House Enrolled Act 1194. At the time in which any SPA, approved after July 1, 2009 related to HCI/DSH/UPL, are approved they will be posted in this section of the DSH electronic storage system.