Disproportionate Share Hospital Payment Services

The vendor is required to provide disproportionate share hospital payment services for include:
•    Extracting data from cost reports to be utilized in the determination of DSH eligibility and calculation of allowable DSH payments; 
•    Populating DSH eligibility worksheets with information gained from the cost reports; 
•    Obtaining claims summary reports from the agency to be used in the DSH eligibility worksheets
•    Provide a secure portal to download the worksheets to state hospitals, providing an electronic Worksheet for completion. 
•    Follow-up with hospitals to ensure response; 
•    Calculation of allowable DSH payments based upon information received; 
•    Provide a final worksheet to agency, reflecting DSH payments by hospital. 
•    To reviewing the s-10 worksheet (hereinafter the “s-10 worksheet”) that is part of the medicare cost report filed annually by certain hospitals, contractor will perform a more comprehensive review of uninsured charity data for those hospitals that are not required to file the s-10 worksheet to fulfill requirements in the CMS approved uncompensated care (UC) protocol. 
•    The contractor will:
o    Update the disproportionate share for hospital (DSH) and uncompensated care costs (UCC) survey.
o    Perform expanded reviews to:
1.    Identify potential duplicate or non-allowable claims for hospitals whose as-filed surveys exceed state claims data by +10%. 
2.    Upon completion of the analytical and expanded reviews, contractor will send preliminary DSH and UCC survey computations to the state for approval prior to hospital distribution.
•    Conduct the identified work in accordance with the consulting standards established by the institute, including all relevant professional and ethical requirements.

- Contract Period/Term: 3 years
- Questions/Inquires Deadline: October 9, 2025