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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
Disproportionate Share Hospital payments are scheduled to be made each summer.
2011 - 2013 [PDF]
Additional DSH funds were 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 DSH years 2010 and
IGA Allocations for 2010 DSH [PDF]
NOTE: - Hospitals must have final IGAs
to AHCCCS by April 15, 2012 so that
AHCCCS can make final Pool 5 reconciliation and distributions by June 1, 2012.
AHCCCS has posted information about opportunities to fund Graduate Medical Education
(GME) and Disproportionate Share Hospital (DSH) payments.
For more information visit
the GME page.
amended DSH pages in 1115 Waiver [PDF]
IGA Agreement for 2010 DSH [Word]
IGA Agreement for 2011 DSH [Word]
Template IGA Agreement for 2012 DSH [Word]
Template IGA Agreement for 2013 DSH [Word]
Mon Dec 6, 2010
AHCCCS will be submitting a waiver to CMS to implement legislatively mandated
changes to the Disproportionate Share Hospital (DSH) Payment methodology. As part
of the FY 2011 budget, the legislature eliminated pool 3 from DSH funding. The FY
2011 budget authorized a total of $9.3 million for Pool 1, 1A, 2 and 2A. The proposed
waiver language also includes $16 million in DSH funding that can be allocated if
local dollars are voluntarily made available.
Any comments regarding the proposed language should be submitted to AHCCCS by January
3, 2011. Proposed changes to the waiver regarding DSH are included below.
FY 2011 Proposed Waiver DSH Changes 1/26/11 [PDF]
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