Disproportionate Share Hospital Payments

Disproportionate Share Hospital (DSH) payments provide financial assistance to hospitals that serve a large number of low-income patients such as people on Medicaid and the uninsured. Medicaid DSH payments are the largest source of federal funding for uncompensated care.


Summary of the Executive Proposal to Raise the DSH Hard Caps New

A summary and frequently asked questions can be found here.

Scheduled Payment Dates

Disproportionate Share Hospital payments are scheduled to be made to private hospitals each fall.

Additional DSH funds are available to hospitals as a part of intergovernmental agreements between AHCCCS, and a political subdivision / tribal government / state university using local funds to match federal DSH funding. For more information, please contact Amy Upston.

NOTE: - Hospitals partners must have final IGAs and matching monies to AHCCCS for DSH 2013 payments by March 31, 2015. Beginning April 1, 2015, any unspent allocation may be reallocated to another hospital.

Template IGA Agreement for 2013 DSH [Word]

Payment History

2011 - 2013 [PDF] [RTF]

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