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Formula. The DSH patient percentage is the sum of two fractions meant to represent two at-risk populations: the under-served and the elderly and disabled. The Medicaid fraction consists of Medicaid eligible patient days that aren't entitled to Medicare Part A and C divided by all total inpatient days.
deliberate self-harm: a psychological condition in which someone harms themselves physically but without the intention to kill themselves.
How Does Medicaid DSH Benefit Your Hospital? The big benefit of Medicaid DSH is that it allows your hospital to treat low-income patients without having to worry about the financial challenges. In fact, under some systems, your hospital will have a financial incentive to treat low-income patients.
States began making Medicaid DSH payments in 1981, when Medicaid hospital payments were delinked from Medicare payment levels. Beginning with Medicaid's enactment in 1965, states were required to pay hospitals' reasonable costs, and to comply with this requirement, states mirrored Medicare's hospital payment policies.
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.
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The Medicare DSH Adjustment (42 CFR 412.106) The alternate special exception method is for large urban hospitals that can demonstrate that more than 30 percent of their total net inpatient care revenues come from State and local governments for indigent care (other than Medicare or Medicaid).
deliberate self-harm: a psychological condition in which someone harms themselves physically but without the intention to kill themselves.
The Medicare DSH Adjustment (42 CFR 412.106) The alternate special exception method is for large urban hospitals that can demonstrate that more than 30 percent of their total net inpatient care revenues come from State and local governments for indigent care (other than Medicare or Medicaid).
Disproportionate share hospitals (DSH) are eligible to participate in 340B if their DSH adjustment\u2013a measure that identifies hospitals that treat a disproportionate share of low income Medicare or Medicaid patients\u2013is above 11.75%.
California Department of State Hospitals - DSH Diversion Program.

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