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) PDF Download
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Author: The Law The Law Library Publisher: Createspace Independent Publishing Platform ISBN: 9781721524259 Category : Languages : en Pages : 26
Book Description
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
Author: The Law The Law Library Publisher: Createspace Independent Publishing Platform ISBN: 9781721524259 Category : Languages : en Pages : 26
Book Description
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
Author: Alison Mitchell Publisher: Createspace Independent Pub ISBN: 9781481914390 Category : Medical Languages : en Pages : 48
Book Description
The Medicaid statute requires states to make disproportionate share hospital (DSH) payments to hospitals treating large numbers of low-income patients. This provision is intended to recognize the disadvantaged financial situation of those hospitals because low-income patients are more likely to be uninsured or Medicaid enrollees. Hospitals often do not receive payment for services rendered to uninsured patients, and Medicaid provider payment rates are generally lower than the rates paid by Medicare and private insurance. As with most Medicaid expenditures, the federal government reimburses states for a portion of their Medicaid DSH expenditures based on each state's federal medical assistance percentage (FMAP). While most federal Medicaid funding is provided on an open-ended basis, federal Medicaid DSH funding is capped. Each state receives an annual DSH allotment, which is the maximum amount of federal matching funds that each state is permitted to claim for Medicaid DSH payments. In FY2012, federal DSH allotments totaled $11.3 billion. The health insurance coverage provisions of the Patient Protection and Affordable Care Act (ACA, P.L. 111-148 as amended) are expected to reduce the number of uninsured individuals in the United States, which means there should be less need for Medicaid DSH payments. As a result, the ACA included a provision directing the Secretary of the Department of Health and Human Services to make aggregate reductions in federal Medicaid DSH allotments for each year from FY2014 to FY2020. The Middle Class Tax Relief and Job Creation Act of 2012 (P.L. 112-96) extended the DSH reductions to FY2021. The Supreme Court's decision regarding the ACA Medicaid expansion does not impact these DSH reduction amounts, but states' decisions about implementing the ACA Medicaid expansion could impact the allocation of the DSH reductions across states. While there are some federal requirements that states must follow in defining DSH hospitals and calculating DSH payments, for the most part, states are provided significant flexibility. One way the federal government restricts states' Medicaid DSH payments is that the federal statute limits the amount of DSH payments for Institutions for Mental Disease and other mental health facilities. Since Medicaid DSH allotments were implemented in FY1993, total Medicaid DSH expenditures (i.e., including federal and state expenditures) have remained relatively stable. Over this same period of time, total Medicaid DSH expenditures as a percentage of total Medicaid medical assistance expenditures (i.e., including both federal and state expenditures but excluding expenditures for administrative activities) dropped from 13% to 4%. This publication provides an overview of Medicaid DSH. It includes a description of the rules delineating how state DSH allotments are calculated and the exceptions to the rules, how DSH hospitals are defined, and how DSH payments are calculated. The DSH allotment section includes information about how the ACA DSH reductions may be allocated among the states, and the possible implications of the Supreme Court's decision regarding the ACA Medicaid expansion. The DSH expenditures section shows the trends in DSH spending and explains variation in states' DSH expenditures. Finally, the basic requirements for state DSH reports and independently certified audits are also outlined.
Author: The Law The Law Library Publisher: Createspace Independent Publishing Platform ISBN: 9781721534128 Category : Languages : en Pages : 34
Book Description
Medicaid Programs - Disproportionate Share Hospital Payments, Uninsured Definition (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Programs - Disproportionate Share Hospital Payments, Uninsured Definition (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 the Social Security Act (the Act). Under this limitation, DSH payments to a hospital cannot exceed the uncompensated costs of furnishing hospital services by the hospital to individuals who are Medicaid-eligible or "have no health insurance (or other source of third party coverage) for the services furnished during the year." This rule provides that, in auditing DSH payments, the quoted test will be applied on a service-specific basis; so that the calculation of uncompensated care for purposes of the hospital-specific DSH limit will include the cost of each service furnished to an individual by that hospital for which the individual had no health insurance or other source of third party coverage. This book contains: - The complete text of the Medicaid Programs - Disproportionate Share Hospital Payments, Uninsured Definition (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section
Author: Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
The Medicaid statute requires that states make disproportionate share (DSH) adjustments to the payment rates of certain hospitals treating large numbers of low income and Medicaid patients â€" recognizing the disadvantaged situation of those hospitals. Although the requirement was established in 1981, DSH payments did not become a significant part of the program until after 1989 when they grew from just under $1 billion to almost $17 billion by 1992. During that time statesâ€TM Medicaid budgets were facing a number of upward pressures while states were learning about financing techniques that made it easier to collect increased DSH payments from the federal government. In 1991 Congress intervened to control the growth of DSH payments by limiting the amounts available to each state and setting national limits. The new law was successful. After 1992 DSH payment growth slowed considerably, although the level of national DSH payments remains high â€" just over $15.9 billion in 2002. Today, as a result of amendments contained in the Balanced Budget Act of 1997 (BBA-1997) and further changes in the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA 2000), a stateâ€TMs DSH payments may not exceed an allotment amount set in the law for that state. States must define, in their state Medicaid plan, hospitals qualifying as DSH hospitals and DSH payment formulas. DSH hospitals must include at least all hospitals meeting minimum criteria and may not include hospitals that have a Medicaid utilization rate below 1%. The DSH payment formula also must meet minimum criteria and DSH payments for any specific hospital cannot exceed a hospital-specific cap based on the unreimbursed costs of providing hospital services to Medicaid and uninsured patients. DSH payments for mental hospitals cannot exceed a facility-specific cap based on a percentage of such payments in 1995. However, within these broad guidelines states also have a great deal of discretion in designating DSH hospitals and calculating adjustments for them. For this reason, Congress has required states to report the methods used to identify and pay DSH hospitals and the payments made to each of the identified hospitals. Congress provided relief to states from the 1997 DSH cuts. The reductions in statesâ€TM allotments that were to take place in 2000, 2001, and 2002 were eliminated but the temporary reprieve did not extend beyond 2002. In 2003 states faced significant reductions in their DSH allotments. In P.L. 108-173, Congress again stepped in to raise DSH payments. Beginning in FY2004 and for certain subsequent fiscal years, states will be allotted 16% more than the amounts previously available. In addition, the number of states able to qualify for low DSH payments and the allotments for those low DSH states were raised.
Author: Katherine M. Iritani Publisher: DIANE Publishing ISBN: 143792736X Category : Health & Fitness Languages : en Pages : 53
Book Description
In addition to standard Medicaid payments, hospitals receive supplemental payments for uncompensated costs of care provided to uninsured and Medicaid patients. These supplemental payments are referred to as disproportionate share hospital (DSH) payments. In FY 2006, DSH payments totaled about $17 billion and non-DSH supplemental payments exceeded $6 billion. Hospitals' DSH payments are limited to their uncompensated care costs, that is, their costs for covered care less Medicaid and other payments. This report examined: (1) how state DSH payments in 2006 compared to DSH payment limits; and (2) certain aspects of states' calculations of 2006 DSH payment limits. Charts and tables.
Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Publisher: ISBN: Category : Medical Languages : en Pages : 144
Author: The Law The Law Library
Author: Teresa A. Coughlin
Author: The Law The Law Library
Author: Alison Mitchell
Author: The Law The Law Library
Author: United States. General Accounting Office
Author: 
Author: Katherine M. Iritani
Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Author: Jennifer Baldwin
Author: United States. Congress. House. Committee on Energy and Commerce