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.
Additional Information
Documents will be posted as they become available.