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.
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