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February 20, 2021

Medicaid Programs - Disproportionate Share Hospital Payments, Uninsured Definition (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition)

eBook details

Title: Medicaid Programs - Disproportionate Share Hospital Payments, Uninsured Definition (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition)
Author : The Law Library
Release Date : January 20, 2018
Genre: Law,Books,Professional & Technical,
Pages : * pages
Size : 179 KB

Description

The Law Library presents the complete text of the Medicaid Programs - Disproportionate Share Hospital Payments, Uninsured Definition (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition).
Updated as of May 29, 2018

This final rule addresses the hospital-specific limitation on Medicaid disproportionate share hospital (DSH) payments under the Social Security Act (the Act). Under this limitation, DSH payments to a hospital cannot exceed the uncompensated costs of furnishing hospital services by the hospital to individuals who are Medicaid-eligible or “have no health insurance (or other source of third party coverage) for the services furnished during the year.” This rule provides that, in auditing DSH payments, the quoted test will be applied on a service-specific basis; so that the calculation of uncompensated care for purposes of the hospital-specific DSH limit will include the cost of each service furnished to an individual by that hospital for which the individual had no health insurance or other source of third party coverage.

This ebook contains:
- The complete text of the Medicaid Programs - Disproportionate Share Hospital Payments, Uninsured Definition (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition)
- A dynamic table of content linking to each section
- A table of contents in introduction presenting a general overview of the structure