The Division of Medicaid and Health Financing is submitting changes to the Medicaid State Plan. Attachment 4.19-A, 11-007-UT Medical Education and Supplemental State Teaching Hospital Payments, proposes the Graduate Medical Education payment pool for state fiscal year 2012 to be $6,336,524, amends the calculation for supplemental payments to the state teaching hospital up to the Medicare upper payment limit to include inflation and utilization factors, and removes the 90 percent interim payment approach. These changes are being made to reflect the GME funding levels and based upon discussions with the state teaching hospital.

It is anticipated that, subject to the upper payment limit, total annual expenditures will be similar to current levels for the supplemental payments and for graduate medical education payments.

This proposed change, if approved, becomes effective on July 1, 2011. The proposed changes are pending Centers for Medicare and Medicaid Services approval.

A copy of the changes may be obtained from Craig Devashrayee (801-538-6641), or by writing the Technical Writing Unit, Utah Department of Health, P.O. Box 143102, Salt Lake City, UT 84114-3102. Comments are welcome at the same address. Copies of the changes are also available at local county health department offices.