An additional $186 represents federal disproportionate share hospital payments to Montana providers based on the number of low-income patients the various institutions serve.
These costs per child are compared to gains via net savings of $1,528 in uncompensated care costs per newly insured child and $186 savings on federal taxes for financing disproportionate share hospital payments to Montana, yielding a positive net gain per newly insured child of $1,156.
Currently, GME and Disproportionate Share Hospital payments
(DSH) -- payments made to hospitals that serve a disproportionate share of low-income persons -- are routed to both the FFS and HMO components of Medicare.
CMS can also recalculate Puerto Ricos Medicare Disproportionate Share Hospital payments
to account for the fact that residents of Puerto Rico are ineligible for Supplemental Security Income.
Statement on Teaching Hospitals and Medicare Disproportionate Share Hospital Payments
The Agency of Human Services Fiscal Office, (hereinafter called AHS) is soliciting proposals to contract a CPA firm independent of State Medicaid Agency and subject hospitals to perform Disproportionate Share Hospital (DSH) audits as implemented in the December 19, 2008 Medicaid Disproportionate Share Hospital (DSH) final rule (73FR 77904) and CMS-2198-F: Medicaid Program: Disproportionate Share Hospital Payments
The State of Kansas is issuing this Request for Proposal to obtain competitive responses from vendors to provide annual reports and independent audits of the Disproportionate Share Hospital Payments
from the Medicaid Program per the attached specifications, for the Kansas Department of Health and Environment, DHCF, Topeka, KS.