Rural Hospital Disproportionate Share Payments

The Division of Medicaid and Health Financing is submitting a change to the Medicaid State Plan. Attachment 4.19-A, SPA 12-009-UT DSH Payments, proposes a change to the current reimbursement methodology for Disproportionate Share Hospital (DSH) payments to General Acute Rural Hospitals.

This change will allow non-government hospitals that have the support of a government entity (e.g., Special Services District, County government) for the non-federal match dollars to participate in the DSH payments outlined in Section 415.

It is anticipated that total annual expenditures will not be affected by this change.

This proposed change, if approved, becomes effective on July 1, 2012. The proposed change is pending Centers for Medicare and Medicaid Services approval.

A copy of this change may be obtained from Craig Devashrayee (801-538-6641), or by writing the Technical Writing Unit, Utah Department of Health, P.O. Box 143102, Salt Lake City, UT 84114-3102. Comments are welcome at the same address. Copies of this change are also available at local county health department offices.

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