In-Patient Hospital Resources
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Utah Medicaid DRG Calculators:
MS-DRG Calculator (versions 29-30) for discharges on or after October 1, 2011 (The calculator is now named to coincide with the MS-DRG version.)
Download MS-DRG Calculator (version 16) for discharges between October 1, 2009 and September 30, 2011
Download DRG Calculator (version 13) for discharges between
October 1, 2001 and September 30, 2009.
Download DRG Calculator (version 3) for discharges prior to
October 1, 2001.
Utah Medicaid DRG Factors:
Current and historical DRG base rates, overall outlier and hospital specific outlier payment factors can be found here.
Disproportionate Share (DSH) Expenditures
Disproportionate Share (DSH) Expenditures by Year
Medicaid Disproportionate Share (DSH) Expenditures spent by Federal Fiscal
Disproportionate Share (DSH) Add On by Year
Medicaid Disproportionate Share (DSH) Add On spent by Federal Fiscal
DSH Uncompensated Care Cost Survey
Hospitals may download an Excel version of the
survey to be used in determining
qualification for Disproportionate Share (DSH) hospital payments at
Disproportionate Share Hospital Survey & Uncompensated Care Survey by clicking here. This survey is due each August 1st and is used to determine eligibility for the subsequent federal fiscal year DSH progrm.
Government hospitals can download an Excel version of the Uncompensated Care and DSH Survey to be used in determining qualification for Disproportionate Share Hospital (DSH) payments by clicking here.
Hospital Annual DSH Audit Survey
As required by CMS, DSH audits are required of all hospitals that
received Medicaid Disproportionate Share dollars for federal fiscal
year 2010. To download this survey, please click
DSH Audit Reports
DSH Audit Report (2005).pdf
DSH Audit Report (2006).pdf
DSH Audit Report (2007).pdf
DSH Audit Report (2008).pdf
DSH Audit Report (2009).pdf
Each DSH payment is funded by State and Federal funds with Federal funds being the largest share (about 70 Percent for State fiscal year 2012). The references below outline the federal requirements, which must be met:
Electronic Code of Federal Regulations (http://ecfr.gpoaccess.gov)
42 CFR 447.299 - Reporting Requirements
42 CFR 455.300 - Independent Certified Audit of State Disproportionate Share Payment Adjustments (Purpose)
42 CFR 455.301 - Independent Certified Audit of State Disproportionate Share Payment Adjustments (Definitions)
42 CFR 455.304 - Condition for Federal financial participation (FFP)
Shaken Baby Syndrome
Shaken Baby Syndrome by Year
Utah Medicaid Payments for Shaken Baby Syndrome spent by State Fiscal