Types of Medicaid non-Disproportionate Share Hospital supplemental payments and other Medicaid payments in state fiscal year 2010

State Supplemental payments made under the upper payment limit Medicaid payments made from special funding pools created under Medicaid demonstrations Episodic or bundled Medicaid payments Medicaid graduate medical education payments Other Medicaid payments
Alabama Yes No No No No
Alaska No No No No No
Arizona No Yes No Yes No
Arkansas Yes No No Yes Yes
California Yes Yes No No Yes
Colorado No No No No No
Connecticut No No No No No
Delaware No No Yes No No
District of Columbia No No No Yes No
Florida No Yes No No No
Georgia Yes No Yes Yes Yes
Hawaii Yes Yes No No No
Idaho Yes No No Yes No
Illinois Yes No No Yes Yes
Indiana Yes No No Yes No
Iowa No No No Yes No
Kansas Yes No No Yes No
Kentucky Yes Yes No Yes No
Louisiana No No No No Yes
Maine No No No No No
Maryland Yes No No No No
Massachusetts Yes Yes Yes No Yes
Michigan Yes No No Yes No
Minnesota Yes No No Yes No
Mississippi Yes No No Yes No
Missouri No No No Yes Yes
Montana No No No No No
Nebraska No No No No No
Nevada Yes No No Yes Yes
New Hampshire No No No No No
New Jersey Yes No No Yes No
New Mexico Yes No No Yes Yes
New York Yes No No No No
North Carolina No No No No No
North Dakota Yes No No No No
Ohio Yes No No No No
Oklahoma Yes Yes No Yes No
Oregon No No No Yes Yes
Pennsylvania Yes No No No No
Rhode Island Yes No No No No
South Carolina Yes No No Yes No
South Dakota No No No No No
Tennessee No Yes No Yes Yes
Texas Yes No No Yes No
Utah Yes No No Yes No
Vermont No No No No No
Virginia Yes No No No No
Washington Yes Yes No No Yes
West Virginia Yes No No Yes Yes
Wisconsin Yes No Yes No No
Wyoming Yes No No No No

Source: GAO analysis of state-reported data. | GAO-15-227SP

 

Types of Medicaid non-Disproportionate Share Hospital supplemental payments and other Medicaid payments in state fiscal year 2010

Non-Disproportionate Share Hospital supplemental payments Provider type
Supplemental payments made under the UPL Medicaid payments made from special funding pools created under Medicaid demonstrations Episodic or bundled Medicaid payments Medicaid GME payments Other Medicaid payments
Number of states
reporting		 Number of states
reporting		 Number of states
reporting		 Number of states
reporting		 Number of states
reporting
Yes 32 9 4 24 13

Source: GAO analysis of state-reported data. | GAO-15-227SP
 
Note: The following four states did not report making any types of non-Disproportionate Share Hospital supplemental payments and other Medicaid payments from state fiscal year 2008 through state fiscal year 2012: Alaska, Maine, South Dakota, and Vermont.

 

Refer to the following for the definitions of the Medicaid payments and sources of funds for which states were requested to provide information in responding to our questionnaire

Definition
 
Medicaid non-Disproportionate Share Hospital supplemental payments and other Medicaid payments are Medicaid upper payment limit (UPL) supplemental payments; payments made from funding pools created under Medicaid demonstrations, such as payments from low-income pools, uncompensated care pools, and similar special funding pools established and paid under Medicaid waiver authority; Medicaid Graduate Medical Education (GME) payments; and other payments, such as enhanced payment rates or bonus payments made to certain health care providers. In addition, this payment category included bundled payments, i.e., episodic Medicaid payments in which payments are based on a predetermined cost for a clinically defined bundle or episode of care.