Get the free Application for Disproportionate Share Hospital Program (DSH) - chfs ky

This document serves as an application form for the Disproportionate Share Hospital Program and includes a screening process for Medicaid and KCHIP eligibility for individuals who request or have

How to fill out application for disproportionate share

How to fill out Application for Disproportionate Share Hospital Program (DSH)

1. Obtain the Application for Disproportionate Share Hospital Program (DSH) form from the relevant state or federal health department website.
2. Read the instructions carefully to understand the eligibility requirements and documentation needed.
3. Fill in the hospital's name, location, and contact information accurately.
4. Provide financial data, including charge descriptions, payer mix, and total patient revenue.
5. Document the percentage of low-income patients served by the hospital.
6. Attach any required supporting documents, such as annual financial statements and cost reports.
7. Review the completed application for accuracy and completeness.
8. Submit the application by the specified deadline via the instructed method (online or by mail).

Who needs Application for Disproportionate Share Hospital Program (DSH)?

1. Hospitals that serve a significant number of low-income patients and are aiming for federal or state funding assistance.
2. Healthcare institutions that comply with specific eligibility criteria related to patient demographic and financial status.
3. Facilities that need to compensate for unreimbursed care costs due to serving underinsured or uninsured individuals.

People Also Ask about

What is DSH percentage?

The DSH patient percentage is equal to the sum of the percentage of Medicare inpatient days attributable to patients eligible for both Medicare Part A and Supplemental Security Income (SSI), and the percentage of total inpatient days attributable to patients eligible for Medicaid by not Medicare Part A.

What does it stand for in healthcare?

Health IT (health information technology) is the area of IT involving the design, development, creation, use and maintenance of information systems for the healthcare industry.

What does DSH mean in mental health?

Deliberate Self-Harm (DSH): A deliberate non-fatal act, whether physical, drug overdose or poisoning, done in the knowledge that it was potentially harmful and in the case of overdose, that the amount taken was excessive. (Morgan 1979). Management.

How much does Medicaid pay hospitals?

For example, excluding supplemental payments Medicaid FFS payments paid less than 58 cents for every dollar hospitals spent caring for Medicaid patients in 2023, and Medicaid MCOs paid less than 65 cents over the same period, ing to industry benchmark data provided by Strata Decision Technology, LLC.

What is a Medicare disproportionate share hospital?

Disproportionate share hospitals (DSHs), defined in Section 1886(d)(5)(F) of the Social Security Act, serve a significantly disproportionate number of low-income Medicare patients and get additional Medicare payments to cover the costs of providing care to them.

What does DSH mean in healthcare?

Federal law requires that state Medicaid programs make Disproportionate Share Hospital (DSH) payments to qualifying hospitals that serve a large number of Medicaid and uninsured individuals.

What is the purpose of a DSH?

Disproportionate Share Hospitals are defined in Section 1886(d)(1)(B) of the Social Security Act. Disproportionate Share Hospitals serve low-income patients and receive payments from the Centers for Medicare & Medicaid Services to cover the costs of providing care to uninsured patients.

What is the purpose of a DSH?

Disproportionate Share Hospitals are defined in Section 1886(d)(1)(B) of the Social Security Act. Disproportionate Share Hospitals serve low-income patients and receive payments from the Centers for Medicare & Medicaid Services to cover the costs of providing care to uninsured patients.

For pdfFiller’s FAQs

What is Application for Disproportionate Share Hospital Program (DSH)?

The Application for Disproportionate Share Hospital Program (DSH) is a formal document that hospitals submit to request funding to support services provided to low-income patients. It is designed to provide financial assistance to hospitals that serve a higher percentage of disadvantaged patients.

Who is required to file Application for Disproportionate Share Hospital Program (DSH)?

Hospitals that serve a large number of Medicaid and uninsured patients are required to file the Application for Disproportionate Share Hospital Program (DSH) to receive the appropriate funding.

How to fill out Application for Disproportionate Share Hospital Program (DSH)?

To fill out the Application for Disproportionate Share Hospital Program (DSH), hospitals must follow the guidelines provided by the relevant state Medicaid program, ensuring that all required data is accurately entered, including patient demographics and financial information.

What is the purpose of Application for Disproportionate Share Hospital Program (DSH)?

The purpose of the Application for Disproportionate Share Hospital Program (DSH) is to ensure that hospitals that care for a disproportionate share of low-income patients receive additional financial support to maintain their services and improve patient care.

What information must be reported on Application for Disproportionate Share Hospital Program (DSH)?

The information that must be reported on the Application for Disproportionate Share Hospital Program (DSH) includes hospital financial data, patient service statistics, the number of Medicaid and uninsured patients treated, and any relevant performance metrics related to care provided.