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Medicaid program; limitations on aggregate payments to disproportionate share hospitals: federal fiscal year

    Federal Register
    |April 9, 1994
    PubMed

    Insights

    This notice details Federal fiscal year 1994 allotments for Medicaid payment adjustments for hospitals serving disproportionate numbers of low-income patients. These adjustments aim to support facilities with high Medicaid and special needs patient populations.

    Area of Science:

    • Healthcare Policy
    • Public Health Finance
    • Hospital Reimbursement

    Background:

    • Hospitals serving disproportionate numbers of Medicaid recipients and low-income patients with special needs face unique financial challenges.
    • Medicaid payment adjustments are a mechanism to address these financial disparities.
    • Federal fiscal year (FFY) 1994 established specific national targets and State allotments for these adjustments.

    Purpose of the Study:

    • To announce the final Federal fiscal year (FFY) 1994 national target for Medicaid payment adjustments.
    • To inform States of their individual allotments for these critical hospital payments.
    • To ensure compliance with Section 1923(f)(1)(C) of the Social Security Act and related regulations.

    Main Methods:

    • Publication of a Federal notice in accordance with the Social Security Act.
    • Adherence to established implementing regulations (42 CFR 447.297 through 447.299).
    • Dissemination of final FFY 1994 national targets and State-specific allotment data.

    Main Results:

    • Final FFY 1994 national target for Medicaid disproportionate share hospital (DSH) payments has been established.
    • Individual State allotments for FFY 1994 DSH payments have been determined and announced.
    • The notice provides the regulatory framework for these financial adjustments.

    Conclusions:

    • The announced allotments provide crucial financial support for hospitals serving vulnerable populations.
    • This notice ensures transparency and compliance in the distribution of Medicaid funds for disproportionate share hospitals.
    • Effective implementation of these allotments is vital for maintaining access to care for low-income patients.

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