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This document is an application for hospitals to screen individuals for Medicaid and KCHIP eligibility and determine eligibility for funding under the Disproportionate Share Hospital program.
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Begin by downloading the DSH-001 form from the official website.
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Individuals applying for specific services or benefits that require the DSH-001 form.
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What is DSH-001?
DSH-001 is a reporting form used by certain healthcare providers to report their Disproportionate Share Hospital (DSH) status and related information to state and federal authorities.
Who is required to file DSH-001?
Hospitals that receive DSH payments, typically those serving a significant number of low-income patients, are required to file DSH-001.
How to fill out DSH-001?
To fill out DSH-001, healthcare providers must provide specific financial, operational, and patient demographic information as outlined in the form's instructions.
What is the purpose of DSH-001?
The purpose of DSH-001 is to ensure transparency and accountability in the distribution of DSH payments, and to verify that hospitals qualify for these payments based on the amount of care they provide to low-income patients.
What information must be reported on DSH-001?
Information that must be reported on DSH-001 includes hospital financial data, the number of Medicaid and uninsured patients served, and details relevant to the hospital's compliance with DSH payment criteria.
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