State Medicaid Payment Policies for Outpatient Hospital Services

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July 2016

In order to better inform analysis of existing policies and development of future policies that affect Medicaid payments, this table documents each state’s fee-for-service (FFS) outpatient hospital services payment policy, including how individual states set their payment rates and the various adjustments and supplemental payments that states make. The tab labeled “summary” presents summary data for each state in each of these categories. The data in the summary tab are linked to state-specific tabs that present a more detailed picture of each state’s Medicaid FFS outpatient hospital payment policy.

Read the issue brief for background on Medicaid outpatient hospital services payment policy here.

Publication Type: State Policy Compendia

Tags: cost-based reimbursement, emergency department services, fee for service, fee schedules, hospital outpatient services, hospitals, payment, supplemental payments, Upper Payment Limit (UPL)