The Centers for
Medicare & Medicaid Services (CMS) released a final rule to implement
statutorily required Medicaid disproportionate share hospital (DSH)
allotment reductions that are currently scheduled to begin in FY2020. The
rule finalizes a methodology to calculate the annual reductions for FY2020
through FY2025 outlined in the table below. The methodology includes five
factors outlined in 1923(f) of the Social Security Act, which include the
uninsured percentage factor (UPF), high volume of Medicaid inpatients
factor (HMF), high level of uncompensated care factor (HUF), low DSH
adjustment factor (LDF), and budget neutrality factor (BNF). CMS will
calculate individual states’ DSH reductions using each respective year’s
preliminary DSH allotment as currently calculated under statue.
DSH Reduction Schedule for FY2020-2025
|
Fiscal Year (FY)
|
Aggregate Reduction
Amount
|
|
2020
|
$4,000,000,000
|
|
2021
|
$8,000,000,000
|
|
2022
|
$8,000,000,000
|
|
2023
|
$8,000,000,000
|
|
2024
|
$8,000,000,000
|
|
2025
|
$8,000,000,000
|
For Technical Assistance related to Medicaid DSH Reductions,
please contact Richard.Cuno@cms.hhs.gov
or Stuart.Goldstein@cms.hhs.gov.
|
No comments:
Post a Comment