CMS's proposed change to the Inpatient Prospective Payment Systems could cause some hospitals to be disqualified from the 340B program.

CMS Seeks Medicare DSH Calculation Change That Could Disqualify Some Hospitals From 340B

The U.S. Centers for Medicare & Medicaid Services is proposing a change to the Medicare disproportionate share hospital (DSH) payment methodology that could cause some hospitals in seven states to be disqualified from the 340B program.

Tucked into the more than 700-page Inpatient Prospective Payment Systems proposed rule for fiscal year 2022 published in the Federal Register last month, CMS proposes revising the formula for how hospitals count Medicaid patient days toward their Medicare DSH eligibility, which can impact their participation in 340B. The rule would apply in states that have received Section 1115 Medicaid waivers for demonstration projects, specifically those that have created a pool of funds for hospitals to defray the costs of uncompensated patient care.

The U.S. Centers for Medicare & Medicaid Services is proposing a change to the Medicare disproportionate share hospital (DSH) payment methodology that could cause some hospitals in seven states to be disqualified from the 340B program.

Please Login or Become a Paid Subscriber to View this Content

If you are already a paid subscriber, please follow the steps below.
If you are not yet a paid subscriber, please Subscribe now.
For questions about subscriptions or technical assistance, please contact Reshma Eggleston at reshma.eggleston@340breport.com.
« Read Previous Read Next »
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors

Attend Our Upcoming Webinar

×


Learn More

Sign up for our free news summaries and alerts