Bureau of Coverage and Reimbursement Policy

Utah Medicaid DRG Calculator Downloads

October 1, 2011 : The calculator is now named to coincide with the MS-DRG version.

Disproportionate Share (DSH) Expenditures

    DSH Uncompensated Care Cost Survey
      Hospitals may download an Excel version of the survey to be used in determining qualification for Disproportionate Share (DSH) hospital payments at Disproportionate Share Hospital Survey & Uncompensated Care Survey by clicking here. This survey is due each August 1st and is used to determine eligibility for the subsequent federal fiscal year DSH program.
      Government hospitals can download an Excel version of the Uncompensated Care and DSH Survey to be used in determining qualification for Disproportionate Share Hospital (DSH) payments by clicking here.
      If using Internet Explorer 8, please click here
    Annual DSH Audit Survey for Hospitals
      As required by CMS, DSH audits are required of all hospitals that received Medicaid Disproportionate Share dollars for federal fiscal year 2014. To download this survey, please click here
      For IMD (State Hospital), there is a separate survey. To download the IMD survey, please click here
      The Annual DSH Audit Survey is due by each April 1st.
    Federal Regulations
      Each DSH payment is funded by State and Federal funds with Federal funds being the largest share (about 70 Percent for State fiscal year 2012). The references below outline the federal requirements, which must be met:
      • Electronic Code of Federal Regulations (http://www.ecfr.gov/)
      • 42 CFR 447.299 - Reporting Requirements
      • 42 CFR 455.300 - Independent Certified Audit of State Disproportionate Share Payment Adjustments (Purpose)
      • 42 CFR 455.301 - Independent Certified Audit of State Disproportionate Share Payment Adjustments (Definitions)
      • 42 CFR 455.304 - Condition for Federal financial participation (FFP)

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