Hospital Services

Hospital Services include both inpatient and outpatient acute care services. In addition, state-operated and freestanding psychiatric hospitals, rehabilitation hospitals and long term hospitals are included as well.

The following information and data files are available for download as self-extracting zip files or Adobe PDF viewable format. (If you are unsure how to open a self-extracting zip, click here. If you are not using Windows 95 or newer, please contact Myers and Stauffer LC.)

Self-extracting
ZIP Version

Adobe PDF
Version

(click on the appropriate check mark)

Cost Report Requirements
DSH and Supplemental Medicaid Payments
SFY 2004 DSH Payments to Private Psychiatric Institutions
SFY 2005 DSH Payments to Private Psychiatric Institutions
SFY 2006 DSH Payments to Private Psychiatric Institutions
SFY 2007 DSH Payments to Private Psychiatric Institutions
SFY 2008 DSH Payments to Private Psychiatric Institutions
SFY 2005 Indiana Medicaid Municipal Hospital Payment Adjustment
SFY 2006 HCI Payments
SFY 2006 HCI Payments - Additional
Revised — SFY 2007 HCI Payments
SFY 2004 Supplemental Payments to Privately Owned Hospitals
SFY 2005 Supplemental Payments to Privately Owned Hospitals
SFY 2006 Supplemental Payments to Privately Owned Hospitals – Allocation of Payment
SFY 2007 Supplemental Payments to Privately Owned Hospitals – Allocation of Payment
SFY 2002 CMHC DSH
DSH Eligibility Calculations
SFYs 2002/2003
SFYs 2004/2005
SFYs 2006/2007/2008
ASC List as of 1/13/2005
Claims Request Template
Claims Request Policy
Inpatient Rates (Updated 11/18/2004)
Multivisceral Transplant Settlement Form