Inpatient Hospital Resources Disproportionate Share (DSH) Expenditures

Medicaid Disproportionate Share (DSH) Add On spent by Federal Fiscal Year

• FFY 2019 opens in a new tab

Federal Regulations

Each DSH payment is funded by State and Federal funds with Federal funds being the largest share (about 70 Percent for State fiscal year 2012).

The references below outline the federal requirements, which must be met:
Electronic Code of Federal Regulations (http://www.ecfr.gov/) opens in a new tab

• 42 CFR 447.299 – Reporting Requirements
• 42 CFR 455.300 – Independent Certified Audit of State Disproportionate Share Payment Adjustments (Purpose)
• 42 CFR 455.301 – Independent Certified Audit of State Disproportionate Share Payment Adjustments (Definitions)
• 42 CFR 455.304 – Condition for Federal financial participation (FFP)

DSH Uncompensated Care Cost Survey

Hospitals may download an Excel version of the survey to be used in determining qualification for Disproportionate Share (DSH) hospital payments at
Disproportionate Share Hospital Survey & Uncompensated Care Survey by clicking here.

This survey is due each August 1st and is used to determine eligibility for the subsequent federal fiscal year DSH program.

Government hospitals can download an Excel version of the
Uncompensated Care and DSH Survey to be used in determining qualification for Disproportionate Share Hospital (DSH) payments by clicking here.