A U.S. District Court in Missouri Friday permanently barred the Centers for Medicare & Medicaid Services from enforcing in Missouri a 2017 final rule and two Frequently Asked Questions documents that included private insurance and Medicare payments in calculating the Medicaid shortfall component of the hospital-specific limit on disproportionate share hospital payments. In his opinion, U.S. District Judge Brian Wimes concludes that the Medicaid Act “is unambiguous that the calculation of a DSH hospital’s HSL does not involve consideration of private insurance or Medicare payments, and a DSH hospital’s total uncompensated costs of care for calculating the HSL is reduced only by the total of other Medicaid program payments.” The case was brought by the Missouri Hospital Association. Federal district courts in Tennessee and New Hampshire last year barred CMS from using the FAQs in calculating Medicaid DSH payments for Tennessee and New Hampshire hospitals. CMS then issued a final rule incorporating the policy into regulation.

Related News Articles

Headline
The government shutdown is expected to continue into next week as the Senate is expected to adjourn Oct. 23 with no plans to vote this weekend. The chamber Oct…
Headline
A report by the Department of Health and Human Services Office of the Inspector General found that many Medicare Advantage and Medicaid managed care plans…
Headline
The Senate Oct. 16 failed for a 10th time to advance the continuing resolution to extend government funding and end the ongoing shutdown. The chamber adjourned…
Chairperson's File
Public
There is a saying that is very timely for our field: A smooth sea never made a skilled sailor. As we head into the final months of 2025, hospitals and health…
Headline
The federal government shutdown is expected to continue into next week as the Senate adjourned Oct. 9 after failing to pass spending legislation; senators plan…
Headline
The AHA provided a statement of record to the Senate Special Committee on Aging for a hearing Oct. 8 on the pharmaceutical and medical device supply chains.…