CMS Issues Proposed Rule Modifying Uninsured Definition for Determining DSH Payments

 

In the January 18, 2012 Federal Register (77 Fed. Reg. 2500), the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would implement a service-specific basis to define the uninsured for purposes of determining the hospital-specific limitation on Disproportionate Share Hospital (DSH) payments. Section 1923(g) of the SSA limits DSH payments to hospitals to the uncompensated costs of furnishing hospital services 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". If the proposed rule is finally adopted, it would reverse the final rule issued in December 2008 (73 Fed. Reg. 77904) that defined the uninsured for purposes of the DSH limitation as those individuals without "creditable coverage," consistent with the definitions under 45 C.F.R. pt. 144 and 45 C.F.R. pt. 146. [More]

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Categories:Health and Human Services

 

Ways and Means Committee Holds Hearing on Supplemental Security Income (SSI) for Children

 

The Supplemental Security Income (SSI) program was created to provide benefits for adults who are aged or unable to work due to disability, and there is a component that also provides monthly payments to a disabled child. The monthly benefit provides up to $674 per person in 2011. An estimated 1.2 million children are receiving SSI benefits, at an annual cost of about $10 billion, not including Medicaid expenses. [More]

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Categories:Health and Human Services

 

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