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State of Indiana Disproportionate Share Hospital (ASH) Eligibility Survey For State ASH Years Ending 06/30/2012 and 06/30/2013 Please read the Instructions carefully, and make sure to submit proper
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Disproportionate Share Hospital (DSH) is a program that provides payments to hospitals that serve a large number of low-income patients.
Hospitals that qualify for DSH payments are required to file for disproportionate share hospital DSH.
To fill out disproportionate share hospital DSH, hospitals must provide information on their low-income patient population and submit the necessary documentation.
The purpose of disproportionate share hospital DSH is to help compensate hospitals that provide care to low-income and medically underserved populations.
Hospitals must report on the number of low-income patients served, the amount of uncompensated care provided, and other relevant data.
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