SHOPP assessment to increase for 2015

Posted on: 12/10/14


Oklahoma hospitals in the Supplemental Hospital Offset Payment Program (SHOPP) will pay an assessment of 3.0 percent of net hospital patient revenue in 2015, an increase from the 2014 rate of 2.95 percent.

SHOPP was created and implemented in 2011 for the purpose of assuring access to quality care for Oklahoma Medicaid members.

Supplemental payments to hospitals from this program will total $445.5 million in 2015. This amount is calculated to reach aggregate upper payment limits of federal matching. Supplemental payments are distributed in proportion to inpatient and outpatient claims payments of the hospitals assessed in the program.  

The assessment rate increased because the federal matching rate for Oklahoma Medicaid has decreased. The federal share dropped from 64.02 percent to 62.30 percent on Oct. 1, 2014, and will decrease to 60.99 percent on Oct. 1, 2015.  Federal matching rates are recalculated annually, and are based on the states’ relative per capita income.

Critical access hospitals do not pay the SHOPP assessment, but receive supplemental funding from the program.

OHA sent 2015 SHOPP projections to the CEOs and CFOs of member hospitals this week. Contact Rick Snyder at OHA with questions on the 2015 changes in SHOPP.

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