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. 2009 Feb;44(1):33–55. doi: 10.1111/j.1475-6773.2008.00898.x

Table 1.

States’ Medicaid Policies and Distribution of Hospital Discharge Destination

State Policies
Hospital Discharge Destination per Resident
Bed-Hold Policies
Total
Baseline NH
Other NH
Non NH
Per-Diem ($) % Per-Diem Max Days Time Frame Occupancy Requirement ERD N N % N % N %
103.30 64.8 16.6 N/A N/A 16.0 All States 77,955 72,158 92.5 4,183 5.4 1,614 2.1
112.54 75 4 Hosp No 3.6 Alabama 1,322 1,280 96.8 31 2.3 11 0.8
99.57 100 9 Cal No 9.0 Arizona 265 238 89.8
69.36 100 5 Hosp Yes 6.0 Arkansas 566 506 89.4 49 8.7 11 1.9
110.27 100 7 Hosp No 8.4 California 5,556 4,683 84.3 655 11.8 218 3.9
111.62 0 0 NA NA 0.0 Colorado 432 398 92.1 22 5.1 12 2.8
151.59 100 15 Hosp Yes 18.0 Connecticut 1,533 1,451 94.7 61 4 21 1.4
117.66 100 14 Cal No 14.0 Delaware 202 198 98
113.45 100 8 Hosp Yes 9.6 Florida 5,188 4,704 90.7 297 5.7 187 3.6
83.64 100 7 Hosp No 8.4 Georgia 1,547 1,483 95.9 45 2.9 19 1.2
116.37 0 0 NA NA 0.0 Idaho 64 52 81.3
90.06 75 10 Hosp Yes 9.0 Illinois 5,038 4,705 93.4 274 5.4 59 1.2
92.83 50 15 Hosp No 9.0 Indiana 2,617 2,481 94.8 99 3.8 37 1.4
85.90 42 10 Hosp No 5.0 Iowa 671 612 91.2
83.53 67 10 Hosp Yes 8.0 Kansas 592 506 85.5 71 12 15 2.5
100.35 100 14 Mixed No 16.8 Kentucky 1,031 988 95.8 29 2.8 14 1.4
68.97 75 7 Hosp No 6.3 Louisiana 2,120 1,742 82.2 236 11.1 142 6.7
115.77 100 10 Cal No 10.0 Maine 123 119 96.7
122.15 48 15 Hosp No 8.6 Maryland 1,201 1,144 95.3 46 3.8 11 0.9
124.47 Hosp No 24.0 Massachusetts 3,659 3,469 94.8 126 3.4 64 1.7
98.87 0 0 NA No 0 Michigan 2,696 2,513 93.2 97 3.6 86 3.2
116.84 79 18 Hosp Yes 17.1 Minnesota 854 798 93.4 41 4.8 15 1.8
90.38 100 15 Hosp No 18.0 Mississippi 397 375 94.5
91.65 100 12 Mixed Yes 3.6 Missouri 1,711 1,525 89.1 169 9.9 17 1
94.04 100 365 Hosp Yes 365.0 Montana 64 63 98.4
81.42 100 15 Hosp Yes 18.0 Nebraska 277 256 92.4
101.00 0 0 NA NA 0.0 Nevada 140 117 83.6
118.91 0 0 NA NA 0.0 New Hampshire 178 170 95.5
127.63 90 10 Hosp No 10.8 New Jersey 4,618 4,516 97.8 85 1.8 17 0.4
92.96 50 12 Cal Yes 6.0 New Mexico 82 75 91.5
160.66 100 20 Hosp Yes 24.0 New York 7,026 6,763 96.3 212 3 51 0.7
122.14 0 0 NA NA 0.0 North Carolina 1,467 1,362 92.8 89 6.1 16 1.1
104.94 100 15 Hosp Yes 18.0 North Dakota 115 108 93.9
121.76 50 30 Cal No 15.0 Ohio 5,956 5,657 95 225 3.8 74 1.2
66.57 50 5 Cal No 2.5 Oklahoma 883 694 78.6 143 16.2 46 5.2
95.43 0 0 NA NA 0.0 Oregon 114 108 94.7
122.91 33 15 Hosp No 6.0 Pennsylvania 6,058 5,872 96.9 111 1.8 75 1.2
116.03 0 0 NA NA 0.0 Rhode Island 626 577 92.2
94.36 100 10 Hosp No 12.0 South Carolina 727 699 96.1
79.60 100 5 Hosp No 6.0 South Dakota 153 143 93.5
81.76 100 15 Hosp Yes 18.0 Tennessee 1,666 1,556 93.4 89 5.3 21 1.3
83.53 0 0 NA NA 0.0 Texas 4,533 3,806 84 454 10 273 6
90.19 0 0 NA NA 0.0 Utah 107 90 84.1
112.56 80 6 Hosp Yes 5.8 Vermont 44 43 97.7
99.99 0 0 NA NA 0.0 Virginia 1,264 1,190 94.1 58 4.6 16 1.3
121.79 0 0 NA NA 0.0 Washington 654 603 92.2
113.68 100 12 Cal Yes 12.0 West Virginia 411 403 98.1
98.77 85 15 Hosp Yes 15.3 Wisconsin 1,364 1,276 93.5 70 5.1 18 1.3
97.89 100 14 Cal No 14.0 Wyoming 43 41 95.3

Some cells have been suppressed to meet the Centers for Medicare and Medicaid Services privacy guidelines.

ERD, Equivalent Reimbursement Days is calculated as the product of proportion of daily coverage and maximum number of days covered (converted to annual when necessary and multiplied by the average number of annual hospitalizations, 1.2).