Hospitals’ supplemental Medicaid payments can be significant depending on the state

Supplemental payments as a percentage of total Medicaid inpatient and outpatient hospital payments for fiscal 2018
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Fiscal 2018 payments ($ in millions)

The list below is interactive: look for your state using the search box or choose to view more at a time with the "Show entries" box.

State Total
Medicaid
payment
DSH payments Non-DSH payments Section
1115 waiver
payments
Alabama $2,133.80 $483.00 $669.60 N/A
Alaska $599.10 $2.50 N/A N/A
Arizona $1,368.20 $116.90 $338.90 $54.70
Arkansas $1,209.10 $43.70 $390.40 N/A
California $16,644.40 $590.80 $8,050.00 $3,874.40
Colorado $2,776.50 $172.60 $1,153.10 N/A
Connecticut $2,505.50 -$39.60 $751.40 N/A
Delaware $86.00 $8.70 N/A N/A
District of Columbia $367.60 $39.10 $35.30 N/A
Florida $2,210.40 $237.20 $207.90 $794.90
Georgia $3,156.40 $440.90 $403.00 N/A
Hawaii $6.60 N/A $1.00 -$7.70
Idaho $526.50 $25.20 $11.00 N/A
Illinois $4,173.50 $245.90 $1,200.20 N/A
Indiana $636.80 $70.80 $44.10 N/A
Iowa $210.70 $82.70 $1.40 N/A
Kansas $114.50 $76.50 $1.10 N/A
Kentucky $363.30 $182.30 $19.90 N/A
Louisiana $507.60 $1,171.80 $118.40 N/A
Maine $595.90 N/A $85.80 N/A
Maryland $1,045.20 $47.00 $52.20 N/A
Massachusetts $3,238.80 N/A $143.30 $1,016.20
Michigan $1,356.10 $462.50 $440.10 N/A
Minnesota $665.10 $67.20 $48.70 $71.30
Mississippi $631.00 $226.50 N/A N/A
Missouri $2,515.10 $574.80 $138.40 N/A
Montana $688.90 $0.80 $212.10 N/A
Nebraska $62.20 $37.80 N/A N/A
Nevada $597.70 $79.10 $200.40 N/A
New Hampshire $298.90 $191.20 $37.00 $23.50
New Jersey $1,563.70 $423.90 N/A $384.60
New Mexico $439.80 $52.10 $105.40 $77.70
New York $11,117.20 $3,523.90 $1,446.20 $1,675.70
North Carolina $4,324.00 $375.10 $1,788.50 N/A
North Dakota $148.60 $0.20 $1.00 N/A
Ohio $1,194.10 N/A $488.10 N/A
Oklahoma $1,552.70 $40.80 $572.00 N/A
Oregon $543.50 $40.90 $129.70 $89.80
Pennsylvania $1,597.50 $648.20 $396.00 N/A
Rhode Island $352.20 $138.50 $19.50 N/A
South Carolina $1,081.00 $465.20 $108.50 N/A
South Dakota $236.70 $0.90 $2.90 N/A
Tennessee $382.90 $31.90 N/A $326.20
Texas $8,406.10 $1,593.10 $35.90 $5,691.60
Utah $277.10 $24.70 $34.10 N/A
Vermont $30.80 $27.40 N/A $3.30
Virginia $1,210.60 $200.40 $537.30 N/A
Washington $960.00 $205.30 N/A $184.80
West Virginia $228.40 $53.00 $22.20 N/A
Wisconsin $811.30 $70.50 $32.30 N/A
Wyoming $134.50 $0.50 $31.30 N/A

Notes

Hawaii is excluded because of prior-period adjustments that led to negative Section 1115 waiver authority payments.
Prior-period adjustments in Louisiana led to supplemental payments being greater than total hospital spending.