​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Global Payment Program

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The Global Payment Program (GPP) establishes a statewide p​ool of funding for the remaining uninsured by combining federal DSH and uncompensated care funding, where select Designated Public Hospital systems can achieve their “global budget” by meeting a service threshold that incentivizes movement from high cost, avoidable services to providing higher value, and preventative services.

Stakeholder Engagement

Resources and Information

• CalAIM Section 1115 Waiver Special Terms and Conditions (December 20,2023)​
• Medi-Cal 2020 Special Terms and Conditions (STCs)
• CMS Approval Letter for Attachments EE and FF (March 21, 2016)
• CMS Approval Letter for Attachment NN (November 9, 2016)
  
• Attachment EE: GPP Funding and Mechanics Protocol​
  
• Attachment FF: GPP Valuation Protocol
  
• Attachment NN: Disproportionate Share Hospital (DSH) Coordination Methodology 
• ​WELFARE AND INSTITUTIONS CODE 14184.40​​
  
• CMS Approval Letter for Uncompensated Care Component of GPP (July 14, 2016)
  

Program Funding and Annual Limits

SFY 2015-16 PY 1

• Funding and Annual Limits
• Global Payment Program Funding and Annual Limits PY 1-SFY 2015-16 Final DSH
• PY 1 Payment Summary Report
• Global Payment Program Payment Summary Report PY 1-SFY 2015-16

SFY 2016-17 PY 2

• Funding and Annual Limits
• Global Payment Program Funding and Annual Limits PY 2-SFY 2016-17 Final DSH
• PY 2 Payment Summary Report
• Global Payment Program Payment Summary Report PY 2-SFY 2016-17

 SFY 2017-18 PY 3

• Funding and Annual Limits
• Global Payment Program Funding and Annual Limits PY 3-SFY 2017-18
• PY 3 Payment Summary Report
• Global Payment Program Payment Sum​mary Report PY 3-SFY 2017-18

SFY 2018-19 PY 4

• Funding and Annual Limits
  • Global Payment Program Funding and Annual Limits PY 4-SFY 2018-19
• PY 4 Payment Summary Report
• Global Payment Program Payment Summary Report PY 4-SFY 2018-19

SFY 2019-20 PY 5

• Funding and Annual Limits
• Global Payment Program Funding and Annual Limits PY 5-SFY 2019-20
• PY 5 Payment Summary Report
• Global Payment Program Payment Summary Report PY 5-SFY 2019-20

SFY 2020-21 PY 6

• Funding and Annual Limits
• Global Payment Program Funding and Annual Limits PY 6 (formerly 6A)-SFY 2020-21
• PY 6 (formerly 6A) Payment Summary Report
  
• Global Payment Program Payment Summary Report PY 6 (formerly 6A)-SFY 2020-21
  

CY 2021 PY 7

• Funding and Annual Limits
• Global Payment Program Funding and Annual Limits PY 7 (formerly 6B)​-CY 2021
• PY 7 (formerly 6B) Payment Summary Report
  
• Global Payment Program Payment Summary Report PY 7 (formerly 6B)-CY 2021 

CY 2022 PY 8

• Funding and Annual Limits​
• Global Payment Program Funding and Annual Limits PY 8​-CY 2022
  
• PY 8 Payment Summary Report
• Global Payment Program Payment Summary Report PY 8-CY 2022

GPP Evaluation Design

• GPP Midpoint Evaluation
  
• GPP Final Evaluation
  
• Draft Evaluation Design | Cover Letter to CMS
• Final Evaluation Design​ | Cover Letter to CMS​