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Medicaid program; disproportionate share hospital payments-institutions for mental disease--HCFA. Notice

    Federal Register
    |September 11, 1998
    PubMed

    Insights

    This notice details Federal disproportionate share hospital (DSH) allotments from 1998-2002 and outlines calculation methods for future years. It also clarifies DSH payment limitations and reporting requirements.

    Area of Science:

    • Health Policy
    • Healthcare Finance
    • Public Health Administration

    Background:

    • Disproportionate Share Hospital (DSH) payments are crucial for hospitals serving a large number of low-income patients.
    • Federal fiscal years (FFYs) 1998-2002 saw specific DSH allotment allocations.
    • The Balanced Budget Act of 1997 (BBA '97) introduced significant changes to DSH programs.

    Purpose of the Study:

    • To announce Federal DSH allotments for FFYs 1998-2002.
    • To describe the methodology for calculating Federal DSH allotments from FFY 2003 onwards.
    • To clarify DSH reporting requirements and payment limitations for mental health facilities.

    Main Methods:

    • Administrative notice发布.
    • Review of legislative mandates (BBA '97).
    • Description of calculation methodologies for DSH allotments.

    Main Results:

    • Federal DSH allotments for FFYs 1998-2002 are announced.
    • Methodology for FFY 2003 and subsequent DSH allotments is detailed.
    • Limitations on aggregate DSH payments to institutions for mental disease (IMD) for FFYs 1998-1999 are specified.

    Conclusions:

    • The notice provides essential financial planning information for hospitals and states regarding DSH payments.
    • Clarification of DSH reporting requirements ensures compliance with BBA '97.
    • The established methodology ensures consistent calculation of DSH allotments for future fiscal years.

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