​​​​​​Attachment 4.19-A

Methods and Standards for Establishing Payment Rates - Inpatient Hospitals (pages 1-54)

Definitions (pgs. 1-1.9)
Reimbursement Limits (pgs. 2-16a)
Classification of Fixed and Variable Costs (pgs. 17-17.62)​​​​
Disproportionate Share Hospitals (pgs. 18-37B)​​
Reimbursement for Short-Doyle/Medi-Cal Acute Inpatient Services (pgs. 38-51)​
Payment Adjustment For Provider-Preventable Conditions (pgs. 52-54)

Supplements to Attachment 4.19-A 

Supplement 1  Section 1902(a)(13)(A) of the Social Security Act Compliance
Supplement 2​  Supplemental Reimbursement For Inpatient Hospital Services
Supplement 3  Supplemental Reimbursement For Construction-Renovation Program
Supplement 4​​​  Supplemental Reimbursement For Qualified Private Hospitals
Supplement 5​  Supplemental Reimbursement For Martin Luther King Jr. - Los Angeles Health Care Corporation
Supplement 6 Graduate Medical Education Payments to Designated Public Hospitals
Supplement 7  One-time Supplemental Payment for Eligible Providers Subject to Subacute Payment Reductions in SPA 14-001

Appendix to Attachment 4.19-A

Appendix 1   Government-Operated Hospitals Approved by CMS
Appendix 2   Prior DSH Methodology in Effect As of 2004-05 Payment Adjustment Year
Appendix 3   Supplemental Reimbursement for Hospital Inpatient Services
Appendix 4   Supplemental Reimbursement for Hospital Inpatient Services
Appendix 5   Supplemental Reimbursement for Hospital Inpatient Services
Appendix 6​ ​​  APR-DRG Payment Parameters
Appendix 7   Supplemental Payments for Hospital Inpatient Services
Appendix 8   Supplemental Payments for Hospital Inpatient Services
​Appendix 9   Supplemental Payments for Hospital Inpatient Services

Appendix 10​ Supplemental Payments for Hospital ​Inpatient Services