STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT
MEDICAL ASSISTANCE PROGRAM STATE ARKANSAS
METHODS AND STANDARDS FOR ESTABLISHING PAYMENT RATES
-INPATIENT HOSPITAL SERVICES
ATTACHMENT 4.19-A
3a. Annual Disproportionate Share Hospital
(DSH) Audit
In addition to any other audits which may occur, independent
certified audits of the DSH payments shall be conducted annually in accordance
with 42 CFR
455.301 and
42 CFR
455.304. Reporting of the audit shall follow
the guidelines stated in 42
CFR 447.299. In accordance with
42 CFR
455.304(e), any overpayments
of DSH funds shall be redistributed to other eligible hospitals within the
state, provided each acute care hospital remains below their hospital specific
DSH limit in the following manner:
(a)
The amount of the DSH payment made to the acute care hospital will be recouped
by the State of Arkansas to the extent necessary to reduce the DSH payment to
an allowable amount.
(b) Amounts
recouped from acute care hospitals with payments in excess of the audited
hospital specific DSH limits, will be placed into an acute care hospital
redistribution pool. Redistribution will be made to remaining acute care
hospitals that do not exceed their hospital specific DSH limit. The allocation
will be made based on these remaining acute care hospitals available
uncompensated care. No acute care hospital shall exceed its hospital specific
DSH limit after redistribution.
(c)
Additionally, DSH funds not otherwise paid to qualifying acute hospitals shall
be paid, subject to the uncompensated care cost limits and annual DSH
allotment, to the Arkansas State Operated Teaching Hospital.
250.460
Annual
Disproportionate Share Hospital (DSH) Audit
In addition to any other audits which may occur, independent
certified audits of the Disproportionate Share Hospital (DSH) payments shall be
conducted annually in accordance with
42 CFR
455.301 and
42 CFR
455.304. Reporting of the audit shall follow
the requirements of 42 CFR
447.299. In accordance with
42 CFR
455.304(e), any overpayments
of DSH funds shall be redistributed to other eligible hospitals within the
state, provided each acute care hospital remains below their hospital specific
DSH limit, in the following manner:
A.
The amount of the DSH payment made to the acute care hospital will be recouped
by the State of Arkansas to the extent necessary to reduce the DSH payment to
an allowable amount.
B. Amounts
recouped from acute care hospitals with payments in excess of the audited
hospital specific DSH limits will be placed into an acute care hospital
redistribution pool. Redistribution will be made to remaining acute care
hospitals that do not exceed their hospital specific DSH limit. The allocation
will be made based on these remaining acute care hospitals' available
uncompensated care. No acute care hospital shall exceed its hospital specific
DSH limit after redistribution.
C.
Additionally, DSH funds not otherwise paid to qualifying acute hospitals shall
be paid, subject to the uncompensated care cost limits and annual DSH
allotment, to the Arkansas State Operated Teaching Hospital.
