Annual Update to Unit Rates and Global Budget Revenue

Effective July 1 of each year, the HSCRC updates hospital Global Budget Revenue (GBR) and unit rates for all payers. The annual update includes adjustments for inflation, population changes, quality, potentially avoidable utilization, and other considerations such as assessments, funding for high-cost drugs, and other Commission approved grants/programs.

The dropdown tabs below are organized by applicable rate year, with the most current rate year listed at the top. Expanding a tab will reveal all relevant inputs grouped below. These input items will be updated as they become available.

July 1, 2026 Annual Update to Unit Rates and GBR for RY 2027

2026 Dates	THESE ITEMS ARE BEING UPDATED AS THEY BECOME AVAILABLE
July 1	Update Factor Recommendation for RY27
July 1	CRISP Funding
July 1	RY27 Demographic Adjustment / RY26-RY27 DA
July 1	Health Care Coverage Fund
July 1	HSCRC User Fees
July 1	Inflation by Hospital
July 1	Market Shift
July 1	Medicaid Budget Deficit Assessment
July 1	MHAC Scaling
July 1	MHCC User Fees
July 1	Nurse Support Program I
July 1	Nurse Support Program II
July 1	PAU Savings Adjustments
July 1	RY26 Final QBR Scaled Revenue
July 1	RRIP Adjustments
July 1	UCC Fund & UCC Hospital Level Summary
July 1	Advanced CDS-A Funding
July 1	Maryland Hospital Funding for AHEAD Participation
July 1	FY27 HOPE Funding
July 1	PAU Growth Harford / Cambridge / Laurel / Grace
July 1	FY26 Hospital Surge Funding

July 1, 2025 Annual Update to Unit Rates and GBR for RY 2026

2025 Dates	THESE ITEMS ARE BEING UPDATED AS THEY BECOME AVAILABLE
July 1	Update Factor Recommendation for RY26
July 1	CRISP Funding
July 1	Demographic Adjustment
July 1	Health Care Coverage Fund
July 1	HSCRC User Fees / RY25 Additional User Fees
July 1	Inflation by Hospital
July 1	Market Shift
July 1	Medicaid Budget Deficit Assessment
July 1	MHAC Scaling
July 1	MHCC User Fees
July 1	Nurse Support Program I
July 1	Nurse Support Program II
July 1	PAU Savings Adjustments
July 1	RY25 Final QBR Scaled Revenue
July 1	Regional Partnership Catalyst Grants - Behavioral Health & Diabetes
July 1	RRIP Adjustments
July 1	UCC Fund & UCC Hospital Level Summary
July 1	Advanced CDS-A Funding
July 1	Maryland Hospital Funding for AHEAD Participation
July 1	FY24 Respiratory Surge Evaluation (adj for FRA $)
July 1	Increasing Newborn Screening Fee
July 1	RSV Statewide Summary
July 1	Population Health Trust Fund
July 1	FY25 Hospital Surge Funding

July 1, 2024 Annual Update to Unit Rates and GBR for RY 2025

2024 Dates	THESE ITEMS ARE BEING UPDATED AS THEY BECOME AVAILABLE
July 1	Update Factor Recommendation for RY25
July 1	CRISP Funding
July 1	Demographic Adjustment
July 1	Health Care Coverage Fund
July 1	HSCRC User Fees
July 1	Inflation by Hospital
July 1	Market Shift
July 1	Maternal & Child Health Funding
July 1	Medicaid Budget Deficit Assessment
July 1	MHAC Scaling
July 1	MHCC User Fees
July 1	Nurse Support Program I
July 1	Nurse Support Program II
July 1	PAU Savings Adjustments
July 1	QBR Scaled Revenue
July 1	Regional Partnership Catalyst Grants - Behavioral Health & Diabetes
July 1	RRIP Adjustments
July 1	UCC Fund & UCC Hospital Level Summary
July 1	Advanced CDS-A Funding
July 1	Maryland Hospital Funding for AHEAD Participation

July 1, 2023 Annual Update to Unit Rates and GBR for RY 2024

2023 Dates	THESE ITEMS ARE BEING UPDATED AS THEY BECOME AVAILABLE
July 1	Update Factor Recommendation for RY24
July 1	CRISP Funding
July 1	Demographic Adjustment
July 1	Health Care Coverage Fund
July 1	HSCRC User Fees
July 1	Inflation by Hospital
July 1	Market Shift - CY22Q1234 CY19 v. CY22 / CL & OP Psych CY21 v. CY22
July 1	Maternal & Child Health Funding
Juyl 1	Medicaid Budget Deficit Assessment
July 1	MHAC Scaling
July 1	MHCC User Fees
July 1	Nurse Support Program I
July 1	Nurse Support Program II
July 1	PAU Savings Adjustments
July 1	Population Health Workforce Support Program for Disadvantaged Areas
July 1	QBR Scaled Revenue
July 1	Regional Partnership Catalyst Grants - Behavioral Health & Diabetes
July 1	RRIP Adjustments
July 1	UCC Fund & UCC Hospital Level Summary
July 1
July 1

July 1, 2022 Annual Update to Unit Rates and GBR for RY 2023

2022 Dates	*THESE ITEMS ARE BEING UPDATED AS THEY BECOME AVAILABLE*
July 1	Update Factor Recommendation for RY23
July 1	CRISP Funding
July 1	Demographic Adjustment
July 1	Health Care Coverage Fund
July 1	HSCRC User Fees
July 1	Inflation by Hospital
July 1	Market Shift
July 1	Maternal & Child Health Funding
Juyl 1	Medicaid Budget Deficit Assessment
July 1	MHAC Scaling
July 1	MHCC User Fees
July 1	Nurse Support Program I
July 1	Nurse Support Program II
July 1	PAU Savings Adjustments
July 1	Population Health Workforce Support Program for Disadvantaged Areas
July 1	QBR Scaled Revenue
July 1	Regional Partnership Catalyst Grants - Behavioral Health & Diabetes
July 1	RRIP Adjustments
July 1	UCC Fund & UCC Hospital Level Summary
July 1
July 1

July 1, 2021 Annual Update to Unit Rates and GBR for RY 2022

2021 Dates	*THESE ITEMS ARE BEING UPDATED AS THEY BECOME AVAILABLE*
July 1	Update Factor Recommendation for RY22
July 1	CRISP Funding
July 1	Demographic Adjustment
July 1	Health Care Coverage Fund
July 1	HSCRC User Fees
July 1	Inflation by Hospital
July 1	Market Shift - Suspended for CY20
July 1	Maternal & Child Health Funding
Juyl 1	Medicaid Budget Deficit Assessment
July 1	MHAC Scaling
July 1	MHCC User Fees
July 1	Nurse Support Program I
July 1	Nurse Support Program II
July 1	Patient Safety Center
July 1	PAU Savings Adjustments
July 1	Population Health Workforce Support Program for Disadvantaged Areas
July 1	QBR Scaled Revenue
July 1	Regional Partnership Catalyst Grants - Behavioral Health & Diabetes
July 1	RRIP Adjustments
July 1	UCC Fund & UCC Hospital Level Summary
July 1

July 1, 2020 Annual Update to Unit Rates and GBR for RY 2021

2020 Dates
July 1	Final Update Factor Recommendation for RY 2021
July 1	CRISP Funding
July 1	Demographic Adjustment
July 1	Health Care Coverage Fund
July 1	HSCRC User Fees
July 1	Inflation by Hospital
July 1	Long Term Care Grants
July 1	MAP Grants
July 1	Market Shift CY 2019
Juyl 1	Medicaid Budget Deficit Assesment
July 1	MHAC Scaling
July 1	MHCC User Fees
July 1	Nurse Support Program I
July 1	Nurse Support Program II
July 1	Patient Safety Center
July 1	PAU Savings Adjustments
July 1	Population Health Workforce Support Program for Disadvantaged Areas
July 1	QBR Scaled Revenue - Final
July 1	Regional Partnership Catalyst Grants - Behavioral Health & Diabetes
July 1	Regional Partnership Grants Round One
July 1	Regional Partnership Grants Round Two
July 1	RRIP Adjustments
July 1	UCC Report & Payments To or From the Fund
July 1	COVID-19 Vaccine Grant Funding

July 1, 2019 Annual Update to Unit Rate and GBR for RY 2020

2019 Dates
June 12	Final Recommendation on the Update Factors for RY 20
July 1	CRISP Funding
July 1	Demographic Adjustment
July 1	Health Care Coverage Fund
July 1	HSCRC User Fees
July 1	Inflation Factor by Hospital
July 1	Market Shift CY 2018
July 1	Medicaid Budget Deficit Assessment
July 1	MHAC Revenue Adjustments
July 1	MHCC User Fees
July 1	Nurse Support Program I
July 1	Nurse Support Program II
July 1	Patient Safety Center
July 1	PAU Savings Adjustments
July 1	Population Health Workforce Support Program for Disadvantaged Areas
July 1	QBR Scaled Revenue - January Update
July 1	Regional Partnership Grants Round One
July 1	Regional Partnership Grants Round Two
July 1	RRIP Adjustments
July 1	UCC Report & Payments To or From the Fund

July 1, 2018 Annual Update to Unit Rates and GBR Revenue for RY 2019

2018 Dates
June 13	Final Recommendation on the Update Factors for FY 19
July 1	CRISP Funding
July 1	Medicaid Budget Deficit Assessment
July 1	Demographic Adjustment
July 1	Health Care Coverage Fund
July 1	HSCRC User Fees
July 1	Market Shift - CY 2017
Juyl 1	MHAC Revenue Adjustments
July 1	MHCC User Fees
July 1	Nurse Support Program I
July 1	Nurse Support Program II
July 1	Patient Safety Center Funding
July 1	PAU Adjustments
July 1	Population Health Workforce Support for Disadvantaged Areas
July 1	QBR Scaled Revenue Adjustments - January Update
July 1	Regional Partnership Grants Round One
July 1	Regional Partnership Grants Round Two
July 1	RRIP Adjustments
July 1	Update Factor with CDS Adjustment

July 1, 2017 Annual Update to Unit Rates and GBR Revenue for RY 2018

2017 Dates
June 14	Final Recommendations on the Update Factors for FY 2018
July 1	CRISP Funding
July 1	Deficit Assessment
July 1	Demographic Adjustments
July 1	Health Care Coverage Fund
July 1	HSCRC User Fees
July 1	Market Shift Adjustments CY 2016
Juyl 1	Market Shift Oncology Adjustments CY 2016
July 1	MHAC Revenue Adjustments
July 1	MHCC User Fees
July 1	Nurse Support Program I
July 1	Nurse Support Program II
July 1	Patient Safety Center Funding
July 1	PAU Adjustment
July 1	Population Health Workforce Support for Disadvantaged Areas
July 1	QBR Scaled Revenue Adjustments
July 1	QBR Scaled Revenue Adjustments - January Update
July 1	Regional Partnership Grants Round One
July 1	Regional Partnership Grants Round Two
July 1	RRIP Adjustments
July 1	Update Factor with CDS Adjustment

July 1, 2016 Annual Update to Unit Rates and GBR/TPR Revenue for RY 2017

2016 Dates
December 29	Population Health Workforce Support for Disadvantaged Areas - New
June 8	Final Recommendations on Update Factors for FY 2017
July 1	GBR/TPR Update Model Template - Tentative
July 1	Update Factor with CDS Adjustment
July 1	Deficit Assessment
July 1	CRISP Funding
July 1	Health Care Fund Payment
July 1	HSCRC User Fees - updated 11-1-16
July 1	MHCC User Fees
July 1	Nurse Support Program I
July 1	Nurse Support Program II
July 1	Patient Safety Funding
July 1	Regional Partnership Grants
December 29	Regional Partnership Grants Round II - New
July 1	Demographic/Population Adjustments - updated 7-9-16
July 1	QBR Scaled Revenue Adjustments - updated 12-29-16
July 1	Market Shift Adjustments CY 15 Q1, Q2, Q3, Q4
July 1	Market Shift Adjustments - Oncology FY 15 Q1, Q2 - updated 7-9-16
July 1	Market Shift Adjustments - Oncology CY 15 - updated 7-9-16
July 1	MHAC Revenue Adjustments
July 1	PAU/Shared Savings Adjustments
July 1	RRIP Adjustments - updated 7-26-16
July 1	UCC Adjustments

July 1, 2015 Annual Update to Unit Rates and GBR/TPR Revenue for RY 2016

2015 Dates
June 10	Final Recommendations on Update Factors for FY 2016
July 1	GBR/TPR Update Model Template
July 1	Nurse Support Program I
July 1	Nurse Support Program II
July 1	Health Care Coverage Fund Assessment
July 1	Deficit Assessment
July 1	HSCRC User Fees - updated 9-18-15
July 1	MHCC User Fees
July 1	QBR Scaled Revenue Adjustments
July 1	MHAC Scaled Revenue – Preliminary Results
July 1	Shared Savings Adjustment
July 1	CRISP Funding
July 1	Patient Safety Funding
July 1	Readmission Reduction Incentive Program Revenue Adjustments
July 1	Market Shift Adjustments
July 1	Demographic/Population Adjustments
July 1	Medicaid Volume Adjustment

July 1, 2014 Annual Update to Unit Rates and GBR/TPR Revenue for RY 2015

2014 Dates
July 1	GBR/TPR FY 2015 Update Webinar Recording
July 1	GBR/TPR FY 2015 Update Webinar Slides
June 11	Final Recommendation on Balanced Updates for FY 2015 – June 11, 2014 Commission Meeting
July 9	Report on Global Budget Contracts and FY 2015 Changes – July 9, 2014 Commission Meeting
July 1	GBR/TPR Update Model – Template
July 1	Nurse Support Program – I
July 1	Nurse Support Program – II
July 1	MHIP Adjustment – Each hospital’s assessment
July 1	Health Care Coverage Fund – Each hospital’s assessment
July 1	Deficit Assessment – Each hospital’s assessment
July 1	HSCRC User Fees – Each hospital’s assessment
July 1	MHCC User Fees – Each hospital’s assessment
	QBR Scaled Revenue
July 1	MHAC Scaled Revenue
July 1	Shared Savings Adjustment
July 1	CRISP Funding

​Hospital Rate Setting

Annual Update to Unit Rates and Global Budget Revenue

Hospital Rate Setting