DSH-001 2013 free printable template
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Application for Disproportionate Share Hospital Program DSH and Medicaid/KCHIP Screening Form The following information is used to determine if an individual who requests or has already received hospital services is eligible for Disproportionate Share Hospital services or should be referred instead to the Department for Community Based Services DCBS to apply for Medicaid or KCHIP.
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Obtain the DSH-001 form from the relevant authority or download it from the official website.
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Fill in your personal information in the designated fields, such as name, address, and contact number.
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Who needs DSH-001?
01
Individuals applying for certain benefits or services that require the DSH-001 form.
02
Those who need to report specific information or changes to their status.
03
Persons seeking assistance from state or federal programs that require this documentation.
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People Also Ask about
Which provisions reduced disproportionate share hospital payments?
the American Taxpayer Relief Act of 2012 (P.L. 112-240), enacted on January 2, 2013, extended the reductions to FY 2022.
What is meant by Medicare disproportionate share hospitals?
Disproportionate Share Hospitals serve a significantly disproportionate number of low-income patients and receive payments from the Centers for Medicaid and Medicare Services to cover the costs of providing care to uninsured patients.
What is Section 3133 of the Affordable Care Act?
Changes to Medicare DSH: Section 3133 of the Affordable Care Act. Section 3133 of the Affordable Care Act amends the Medicare DSH adjustment provision under section 1886(d) (5) (F) of the Act, and establishes 1886(r) which provides for an additional payment for a hospital's uncompensated care.
What does DSH stand for 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.
Is DSH the same as 340B?
There are six hospital types eligible to participate in the 340B Program: Disproportionate Share Hospitals (DSH) Sole Community Hospitals (SCH)
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What is DSH-001?
DSH-001 is a form used for reporting data related to Disproportionate Share Hospital (DSH) payments, which provide financial assistance to hospitals that serve a large number of low-income patients.
Who is required to file DSH-001?
Hospitals that participate in the Medicaid program and receive DSH payments are required to file DSH-001.
How to fill out DSH-001?
To fill out DSH-001, hospitals must provide accurate data on patient demographics, financial information, and services provided, following the guidelines provided with the form.
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 assess the need for these funds among qualifying hospitals.
What information must be reported on DSH-001?
DSH-001 requires reporting information such as the number of patients served, payer sources, hospital financial information, and any relevant patient demographics.
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