Provider Fee Payment

Overview

The Hospital Medicaid Financing Program Act (SB24) was approved by the Georgia General Assembly in 2013.  Passage of SB24 authorized the Department of Community Health to establish a financial structure to protect Georgia’s healthcare system and obtain additional federal funding for the state’s Medicaid program. (Cite as Ga. Comp. R. & Regs. r. 111-3-9.01)

Hospital Assessment

Each Hospital is assessed a provider payment in the amount of 1.45% of the Net Patient Revenue of the Hospital. Trauma Centers are assessed in the amount of 1.40 % of the Net Patient Revenue of the Trauma Center.

Hospital Add-on payments

For admissions on or after July 1, 2020, the Department will add 11.88% to hospital inpatient base rates, capital add-on rates, graduate medical education add-on rates, outlier per case payments and outpatient payment rates.

Provider Fee Schedule

Updated SFY 2025 Hospital Provider Fee Payment Schedule  - Posted 01/14/25

SFY 2025 Hospital Provider Fee Payment Schedule - Posted 09/03/24

SFY 2024 Hospital Provider Fee Memorandum - Updated 08/30/23

SFY 2024 Hospital Provider Fee Payment Schedule - Updated 12/22/23

SFY 2023 Hospital Provider Fee Memorandum - Posted 06/15/22

Revised SFY 2023 Hospital Provider Fee Payment Schedule - Updated 11/15/22