SAS Output

New types of Medicaid non-Disproportionate Share Hospital supplemental payments and other Medicaid payments in state fiscal year 2012

	Type of Medicaid upper payment limit supplemental payment							Type of other Medicaid payment
State	Inpatient hospital services	Outpatient hospital services	Nursing facility services	Physician and surgical services	Other practitioners services	Intermediate care facility services	Other	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	.	.	.	.	.	.	.	.	.	.	.
Alaska	.	.	.	.	.	.	.	.	.	.	.
Arizona	.	.	.	.	.	.	.	Both Government and Private	.	.	.
Arkansas	.	.	.	.	.	.	.	.	.	.	.
California	.	.	.	.	.	.	.	Government	.	.	.
Colorado	.	.	.	.	.	.	.	.	.	.	.
Connecticut	Private	.	.	.	.	.	.	.	.	.	.
Delaware	.	.	.	.	.	.	.	.	.	.	.
District of Columbia	.	.	.	.	.	.	.	.	.	.	.
Florida	.	.	.	.	.	.	.	.	.	.	.
Georgia	.	.	.	.	.	.	.	.	.	.	Both Government and Private
Hawaii	.	.	.	.	.	.	.	.	.	.	.
Idaho	.	.	.	.	.	Private	.	.	.	.	.
Illinois	Both Government and Private	Private	.	.	.	.	.	.	.	.	.
Indiana	.	.	.	.	.	.	.	.	.	.	Government
Iowa	.	.	.	.	.	.	.	.	.	.	.
Kansas	.	.	.	.	.	.	.	.	.	.	.
Kentucky	.	.	.	.	.	.	.	.	.	.	.
Louisiana	Private	.	.	Private	Private	.	.	.	.	.	.
Maine	.	.	.	.	.	.	.	.	.	.	.
Maryland	.	.	.	.	.	.	.	.	.	.	.
Massachusetts	.	.	Government	.	.	.	.	Both Government and Private	.	.	.
Michigan	.	.	.	.	.	.	.	.	.	.	.
Minnesota	.	.	Government	.	.	.	.	.	.	.	.
Mississippi	.	.	.	.	.	.	.	.	.	.	.
Missouri	.	.	.	.	.	.	.	.	.	.	.
Montana	.	.	.	.	.	.	.	.	.	Government	.
Nebraska	.	.	.	.	.	.	.	.	.	.	.
Nevada	.	.	.	.	.	.	.	.	.	.	.
New Hampshire	.	.	.	.	.	.	.	.	.	.	.
New Jersey	.	.	.	.	.	.	.	.	.	.	.
New Mexico	.	.	.	.	.	.	.	.	.	.	.
New York	.	.	.	Government	.	.	Government	.	.	.	.
North Carolina	Both Government and Private	Both Government and Private	.	Government	.	.	.	.	.	.	.
North Dakota	.	.	.	.	.	.	.	.	.	.	.
Ohio	.	.	.	.	.	.	.	.	.	.	.
Oklahoma	Both Government and Private	Both Government and Private	.	.	.	.	.	.	.	.	.
Oregon	Private	Private	.	.	.	.	.	.	Private	.	.
Pennsylvania	.	.	.	.	.	.	.	.	.	.	.
Rhode Island	.	.	.	.	.	.	.	.	.	.	.
South Carolina	.	.	.	.	.	.	.	.	.	.	.
South Dakota	.	.	.	.	.	.	.	.	.	.	.
Tennessee	.	.	.	.	.	.	.	Both Government and Private	.	.	.
Texas	.	.	.	.	.	.	Government	Both Government and Private	.	.	Government
Utah	.	.	.	.	.	.	.	.	.	.	.
Vermont	.	.	.	.	.	.	.	.	.	.	.
Virginia	.	.	.	.	.	.	.	.	.	.	.
Washington	.	.	.	.	.	.	.	.	.	.	.
West Virginia	Both Government and Private	Both Government and Private	.	.	.	.	.	.	.	.	.
Wisconsin	.	.	.	.	.	.	.	.	.	.	.
Wyoming	.	.	.	.	.	.	.	.	.	.	.

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

New types of Medicaid non-Disproportionate Share Hospital supplemental payments and other Medicaid payments in state fiscal year 2012

Non-Disproportionate Share Hospital supplemental payments and other Medicaid payments	Provider type
	Inpatient hospital services	Outpatient hospital services	Nursing facility services	Physician and surgical services	Other practitioners services	Intermediate care facility services	Other	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	Number of states reporting	Number of states reporting	Number of states reporting	Number of states reporting	Number of states reporting	Number of states reporting
Government	.	.	2	2	.	.	2	1	.	1	2
Private	3	2	.	1	1	1	.	.	1	.	.
Both Government and Private	4	3	.	.	.	.	.	4	.	.	1

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

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.

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.