Global Payment Program
The Global Payment Program (GPP) establishes a statewide pool 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
Please email your comments, questions or suggestions regarding the Global Payment Program to GlobalPaymentProgram@dhcs.ca.gov.
Resources and Information
- CalAIM Section 1115 Waiver Special Terms and Conditions (January 17, 2025)
- 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 Summary 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
CY 2023 PY 9
Funding and Annual Limits
Global Payment Program Funding and Annual Limits PY 9-CY 2023
PY 9 Payment Summary Report
Global Payment Program Payment Summary Report PY 9-CY 2023
CY 2024 PY 10
Funding and Annual Limits
Global Payment Program Funding and Annual Limits PY 10-CY 2024
PY 10 Payment Summary Report
Global Payment Program Payment Summary Report PY 10-CY 2024
CY 2025 PY 11
Funding and Annual Limits
Global Payment Program Funding and Annual Limits PY 11-CY 2025
PY 11 Payment Summary Report
Global Payment Program Payment Summary Report PY 11-CY 2025
GPP Evaluation
- Medi-Cal 2020 GPP Midpoint Evaluation
- Medi-Cal 2020 GPP Final Evaluation
- Medi-Cal 2020 Draft Evaluation Design | Cover Letter to CMS
- Medi-Cal 2020 Final Evaluation Design | Cover Letter to CMS