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INTERGOVERNMENTAL AGREEMENTBETWEEN ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION(AHC CCS)And Insert name of political subdivision, tribal government, or public university (Public Entity)
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Supplemental payments to disproportionate are additional payments made to healthcare providers to address disparities in reimbursement rates.
Healthcare providers who receive disproportionate share hospital (DSH) payments are required to file supplemental payments to disproportionate.
Supplemental payments to disproportionate should be filled out by providing all necessary information, including details on the specific disparities being addressed and the amount of the supplemental payment.
The purpose of supplemental payments to disproportionate is to ensure that healthcare providers serving a larger number of low-income patients receive adequate reimbursement for the care they provide.
Information such as the amount of the supplemental payment, details on the disparities in reimbursement rates, and the specific low-income patient population being served must be reported on supplemental payments to disproportionate.
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