Table 6. State Provisions for Updating Medicaid PPS Rates Between Rebasing Calculations.
State | Factors Used to Update Payment |
---|---|
Colorado | Medicare market basket, three geographic caps |
Illinois | Medicare updates |
Iowa | Inflation update factors (discontinued July 1,1993) |
Kansas | Separate ancillary and accommodation inflation rates |
Michigan | Medicare market basket, ceilings/caps are imposed |
Minnesota | Minnesota market basket |
Montana | Not available |
New Hampshire | Inflation adjustment |
New Jersey | TEFRA update (inflation) and technology update factors |
New Mexico | PPS update factor |
New York | DRG creep factor (1 percent case-mix change cap), peer group average charges/costs, trend and roll factors, volume adjustments, cost base enhancements |
North Dakota | Not available |
Ohio | Index based on weighted average of 17 components indexes including both consumer and producer price indexes and both national and regional indexes |
Oregon | Medicare market basket; capped |
Pennsylvania | Medicare market basket |
South Carolina | Lowest of three inflation options (Medicare market basket, TEFRA update, policy factor) |
South Dakota | Inflation factors, capped |
Texas | Inflation index (three options), budgetary reduction factor |
Utah | Factors for economic trends and conditions |
Washington | Caps by peer group, Medicare market basket |
Wisconsin | Factor for Inflation |
NOTES: TEFRA is Tax Equity and Fiscal Responsibility Act. PPS is prospective payment system. DRG is diagnosis-related group.
SOURCE: Carter, G.M., Jacobson, P.D., Kominski, G.F., and Perry, M.J., RAND, 1994.