{
 "id": "mcd:c491f14b-6dd5-5e00-9e8d-0c49420e7caa",
 "slug": "disproportionate-share-hospital-dsh-payments-annual-reporting-requirements",
 "source": "data.medicaid.gov",
 "title": "Disproportionate Share Hospital (DSH) Payments - Annual Reporting Requirements",
 "summary": "Federal law requires that state Medicaid programs make Disproportionate Share Hospital (DSH) payments to qualifying hospitals that serve a large number of Medicaid and uninsured individuals.",
 "description": "Federal law requires that state Medicaid programs make Disproportionate Share Hospital (DSH) payments to qualifying hospitals that serve a large number of Medicaid and uninsured individuals. State-specific annual DSH reports are posted as submitted by states based on their availability. For more information, visit https://www.medicaid.gov/medicaid/finance/dsh/index.html.",
 "aliases": [],
 "keywords": [
  "Medicaid"
 ],
 "themes": [],
 "topics": [
  "hospitals",
  "spending-utilization",
  "medicaid-chip"
 ],
 "category": "Other Medicaid data",
 "publisher": "Centers for Medicare & Medicaid Services (CMS), data.medicaid.gov",
 "contact": "no-reply@data.medicaid.gov",
 "landing_url": "https://data.medicaid.gov/dataset/c491f14b-6dd5-5e00-9e8d-0c49420e7caa",
 "csv_url": "https://download.medicaid.gov/data/disproportionate-share-hospital-dsh-payments-annual-reporting-requirements.88ti-fz9c.csv",
 "api_url": "https://data.medicaid.gov/api/1/datastore/query/c491f14b-6dd5-5e00-9e8d-0c49420e7caa/0",
 "api_kind": "dkan-datastore",
 "preview_url": null,
 "dictionary_url": null,
 "dictionary_kind": null,
 "methodology_urls": [],
 "state_column": "state",
 "row_count": 49,
 "posted": "2019-01-24",
 "modified": "2019-01-24",
 "period_start": null,
 "period_end": null,
 "latest_period": null,
 "cadence": null,
 "next_update": null,
 "versions": [],
 "columns": [
  {
   "name": "year",
   "label": "Year",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "state",
   "label": "State",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "category",
   "label": "Category",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "hospital_name",
   "label": "Hospital Name",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "notes",
   "label": "Notes",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "state_estimated_hospitalspecific_dsh_limit_100",
   "label": "State Estimated Hospital-Specific DSH Limit (100%)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "state_estimated_hospitalspecific_dsh_limit_175",
   "label": "State Estimated Hospital-Specific DSH Limit (175%)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "medicaid_ip_utilization_rate",
   "label": "Medicaid I/P Utilization Rate",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "lowincome_utilization_rate",
   "label": "Low-Income Utilization Rate",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "statedefined_eligibility_statistic_miur",
   "label": "State-Defined Eligibility Statistic MIUR",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "regular_ipop_medicaid_ffs_rate_payments",
   "label": "Regular IP/OP Medicaid FFS Rate Payments",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "ipop_medicaid_mco_payments",
   "label": "IP/OP Medicaid MCO Payments",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "supplemental__enhanced_ipop_medicaid_payments",
   "label": "Supplemental / Enhanced IP/OP Medicaid Payments",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_medicaid_ipop_medicaid_payments",
   "label": "Total Medicaid IP/OP Medicaid Payments",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_cost_of_care__medicaid_ipop_services",
   "label": "Total Cost of Care - Medicaid IP/OP Services",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_medicaid_uncompensated_care_costs",
   "label": "Total Medicaid Uncompensated Care Costs",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_ipop_indigent_careselfpay_revenues",
   "label": "Total IP/OP Indigent Care/Self-Pay Revenues",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_applicable_section_1011_payments",
   "label": "Total Applicable Section 1011 Payments",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_ipop_uninsured_cost_of_care",
   "label": "Total IP/OP Uninsured Cost of Care",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_uninsured_uncompensated_care_costs",
   "label": "Total Uninsured Uncompensated Care Costs",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_eligible_uncompensated_care_costs",
   "label": "Total Eligible Uncompensated Care Costs",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_eligible_uncompensated_care_costs_c",
   "label": "Total Eligible Uncompensated Care Costs (c)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_instate_dsh_payments_received",
   "label": "Total In-State DSH Payments Received",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_outofstate_dsh_payments_received",
   "label": "Total Out-of-State DSH Payments Received",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "medicaid_provider_number",
   "label": "Medicaid Provider Number",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "medicare_provider_number",
   "label": "Medicare Provider Number",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_hospital_cost",
   "label": "Total Hospital Cost",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "location",
   "label": "Location",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  }
 ],
 "caveats": [],
 "curated": false,
 "license": "https://www.usa.gov/government-works",
 "detail_key": "c491f14b-6dd5-5e00-9e8d-0c49420e7caa|2019-01-24T18:19:56+00:00|https://download.medicaid.gov/data/disproportionate-share-hospital-dsh-payments-annual-reporting-requirements.88ti-fz9c.csv",
 "checked": "2026-10-25",
 "source_name": "data.medicaid.gov"
}