Medicaid DSH Surveys

As a part of the Federal Medicaid Disproportionate Share Hospital (DSH) program, the Centers for Medicare and Medicaid Services (CMS) requires each state to calculate a Hospital Specific DSH Limit amount for each eligible hospital in their state. The Federal Medicaid program defines the data elements used to calculate the DSH Limit and allows each state to gather the necessary information.

Most states use a Medicaid DSH Survey to allow providers to complete the required data elements. The DSH Limit uses Medicare Cost Reporting Principles but also requires much patient service level detail to calculate cost and payments of individual services provided in each state fiscal year. Therefore, to correctly calculate your hospital's DSH Limit that will be used to limit the amount of ultimate payments to each hospital, understanding the Federal and State requirements related to this program is a must.