Medicaid DSH Payment Program

2026-11-03

AOA is soliciting the services of qualified certified public accounting firms to perform examinations of the Department of Health and Social Services , Division of Medicaid and Medical Assistance ( DMMA ), Disproportionate Share Hospital ( DSH ) Payments program for the fiscal years ended June 30 , 2025 , June 30 , 2026 and June 30 , 2027 . DSH payments for these years are expected to be made to the Delaware Psychiatric Center located in New Castle , DE ; and Saint Francis Hospital located in Wilmington , DE . The following verification must be addressed in the examination reports ( Code of Federal Regulations – 42 CFR , Part 455 § 455 . 304 ): Verification 1 . Each hospital that qualifies for a DSH payment in the State is allowed to retain that payment so that the payment is available to offset its uncompensated care costs for furnishing inpatient hospital and outpatient hospital services during the Medicaid State plan rate year to Medicaid individuals as determined in accordance with § 447 . 295 ( d ) of this chapter , and individuals with no source of third - party coverage for the services , in order to reflect the total amount of claimed DSH expenditures . Verification 2 : DSH payments made to each qualifying hospital comply with the hospital - specific DSH payment limit . For each audited Medicaid State plan rate year , the DSH payments made in that audited Medicaid State plan rate year must be measured against the actual uncompensated care cost in that same audited Medicaid State plan rate year ...

Delaware

2026-03-27