AHA comments on proposed changes to Medicaid DSH calculation

Commenting April 25 on a proposed rule implementing statutory changes to how Medicaid calculates the hospital-specific limit for certain Disproportionate Share Hospitals, AHA said it remains concerned that the changes will lower the hospital-specific DSH limit at a time when hospitals can least afford it. While the proposed rule cannot change the statutory provisions, AHA urged the agency to clarify that both the list of hospitals that meet the 97th percentile and the underlying data will be made publicly available so hospitals can validate the agency’s calculations and their hospital-specific DSH limit. It also urged the agency to continue publishing state DSH allotments in the Federal Register.