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Medicaid Program - Disproportionate Share Hospital Payments-Treatment of Third Party Payers in Calculating Uncompensated Care Costs (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library

Medicaid Program - Disproportionate Share Hospital Payments-Treatment of Third Party Payers in Calculating Uncompensated Care Costs (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - Disproportionate Share Hospital Payments-Treatment of Third Party Payers in Calculating Uncompensated Care Costs (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule addresses the hospital-specific limitation on Medicaid disproportionate share hospital (DSH) payments under section 1923(g)(1)(A) of the Social Security Act (Act), and the application of such limitation in the annual DSH audits required under section 1923(j) of the Act, by clarifying that the hospital-specific DSH limit is based only on uncompensated care costs. Specifically, this rule makes explicit in the text of the regulation, an existing interpretation that uncompensated care costs include only those costs for Medicaid eligible individuals that remain after accounting for payments made to hospitals by or on behalf of Medicaid eligible individuals, including Medicare and other third party payments that compensate the hospitals for care furnished to such individuals. As a result, the hospital-specific limit calculation will reflect only the costs for Medicaid eligible individuals for which the hospital has not received payment from any source. This book contains: - The complete text of the Medicaid Program - Disproportionate Share Hospital Payments-Treatment of Third Party Payers in Calculating Uncompensated Care Costs (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section