DC-11-010

This SPA proposes changes to the District's disproportionate share hospital payment program. Specifically, this plan continues the previously approved recovery and redistribution methodology for DSH payments in excess of hospital-specific-limits. Additionally, this SPA eliminates one of two reductions to DC's annual DSH allotment that allowed DC to expand coverage under approved Medicaid Waivers and eliminates language that made an additional $12.5 million payment to a specific qualified DSH facility. The $12.5 million becomes part of the distribution pool for all DSH hospitals.