!
The website of the Medicaid and CHIP Payment and Access Commission will not be updated during the temporary government shutdown. We will resume posting new content and responding to messages when operations resume.

An official website of the United States Government -

Improving the Structure of Disproportionate Share Hospital Allotment Reductions: Review of Draft Chapter and Recommendations for the March 2019 Report

This presentation reviews a package of three draft recommendations related to the structure of pending reductions in Medicaid disproportionate share hospital (DSH) allotments and a draft chapter that describes the Commission’s analyses and decision making process. The proposed recommendations were approved 16–1 and include:

  • phasing in reductions more gradually over a longer period of time;
  • applying reductions to unspent DSH funding first; and,
  • distributing reductions in a way that gradually improves the relationship between DSH allotments and the number of non-elderly, low-income individuals in a state.

The downloadable slide presentation reflects the text of the recommendation as discussed at this session.