Medicaid Disproportionate Share Hospital Payments Uninsured Definition (CMS-2315-F)

On December 31, 2014, the federal Centers for Medicare and Medicaid Services (CMS) implemented a new definition for “uninsured” to be used in the context of calculating Medicaid disproportionate share hospital (DSH) payments. DSH payments to a hospital cannot exceed the uncompensated costs of furnishing hospital services by the hospital to individuals who are Medicaid-eligible or “have no health insurance (or other source of third party coverage) for the services furnished during the year . . .