Disproportionate Share Hospitals

Overview

Federal law requires Medicaid programs to make special payments to hospitals that serve a disproportionately large number of Medicaid and low-income patients. These hospitals are called disproportionate share hospitals (DSH) and receive DSH funding. DSH funds are different from most other Medicaid payments because they are not tied to specific services for Medicaid-eligible patients.

DSH Audit Information

View the DSH Audit information

DSH Payment Information

View Proposed DSH Timeline for Payments (.pdf)

View DSH 2020 Payments (.pdf)

View DSH 2019 Payments (.pdf)

View DSH 2018 Payments (.pdf)

View DSH 2017 Payments (.pdf)

View DSH 2016 Payments (.pdf)

View DSH 2015 Payments (.pdf)

View DSH 2014 Payments (.pdf)

Methodology / Rules

The Hospital Services program rules are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 354, SubChapter A, Division 6, Rules 1071-1073, 1075, and 1077.

Reimbursement rules applicable to Hospitals are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter J, Division 4, Rules 8052, 8054, 8056, 8061, 8063, 8064, 8065, 8067, 8069, and 8071.