Family and Social Services Administration
Disproportionate Share Hospital (DSH)
House Enrolled Act 1194
In compliance with House Enrolled Act 1194, the Office of Medicaid Policy and Planning has developed and will maintain an electronic storage system for all information regarding the Disproportionate Share Hospital (DSH) and Upper Payment Limit (UPL) programs. A copy of the Act can be found at the link below.
Federal Law
- 42 CFR 447.296 – 42 CFR 447.299 Disproportionate Share Hospital
- 42 CFR 447.321 Upper Payment Limit (Outpatient)
- 42 CFR 447.271 - 42 CFR 447.272 Upper Payment Limit (Inpatient)
- 42 CFR 447.253 State assurances and findings (UPL)
Social Security Act Section 1923
Federal and State Rules and Regulations
Indiana Code 12-15 Medicaid
- IC 12-15-15 Payments to Hospitals; General (includes UPL)
- IC 12-15-16 Disproportionate Share Providers; Eligibility
- IC 12-15-17 Disproportionate Share Providers; Disproportionate Share Payments
- IC 12-15-18 Disproportionate Share Providers; Assessments
- IC 12-15-19 Disproportionate Share Providers; Enhanced Disproportionate Share Payments
- IC 12-15-20 Indigent Care Trust Fund
- IC 12-15-20.5 Disproportionate Share Providers
- IC 12-15-20.7 Payment Schedule
Indiana Code 12-16 Payment for Health Services Other than Medicaid
- IC 12-16-2.5 Hospital Care for the Indigent; Administration and General Provisions
- IC 12-16-3.5 Hospital Care for the Indigent; Eligibility for Assistance
- IC 12-16-4.5 Hospital Care for the Indigent; Application for Assistance
- IC 12-16-5.5 Hospital Care for the Indigent; Eligibility Determinations; Investigations
- IC 12-16-6.5 Hospital Care for the Indigent; Denial of Eligibility; Appeals; Judicial Review
- IC 12-16-7.5 Hospital Care for the Indigent; Cost of Care and Payment
- IC 12-16-9.5 Hospital Care for the Indigent; Rate of Payment
- IC 12-16-10.5 Hospital Care for the Indigent; Rules
- IC 12-16-13.5 Hospital Care for the Indigent; Immunity
- IC 12-16-14 Hospital Care for the Indigent; Property Tax Levy and Funds
- IC 12-16-16.5 Hospital Care for the Indigent; Review of Medical Criteria
- IC 12-16-17 Health and Hospital Corporation of Marion County
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