Disproportionate Share Hospitals (DSH) Audit

Reference Information:

View the Federal DSH Audit Rule (.pdf)

The Department of Health and Human Services Centers for Medicare & Medicaid Services (CMS) published 42 CFR 447.295, a final rule to modify the definition of uninsured for purposes of auditing DSH payments.

View CMS DSH Payments and Audit Information

Audit - FFY 2021

On March 06, 2024 the information regarding the DSH Audit Notification was sent to Hospitals who received DSH funding for that FFY 2021.

View the 2021 DSH Notification letter (.pdf)
View the 2021 DSH Payment Listing (.pdf)
View the 2021 DSH Examination FAQ (.pdf)
View the 2021 Documentation Chart (.pdf)
View the 2021 DSH Cost Allocation Methodologies.pdf
View the TMHP Cost Center Descriptions.pdf
View the 2021 DSH Presentation (.pdf)
View the 2021 DSH Examination and UC DY10 Reconciliation Timeline (.pdf)

Past DSH Audit Findings

2020

View the 2020 DSH Audit Report (.pdf)

View the 2020 DSH Provider Data Summary (.xlsx) 

2019

View DSH 2019 DSH Audit Report (Myers and Stauffer) (.pdf)

View DSH 2019 DSH Provider Data Summary (Myers and Stauffer) (.pdf)

2018

View DSH 2018 DSH Audit Report (Myers and Stauffer) (.pdf)

View DSH 2018 DSH Provider Data Summary (Myers and Stauffer) (.pdf)

2017

View DSH 2017 DSH Audit Report (Myers and Stauffer) (.pdf)

View DSH 2017 DSH Provider Data Summary (Myers and Stauffer) (.pdf)

2016

View DSH 2016 DSH Audit Report (Myers and Stauffer) (.pdf)

View DSH 2016 DSH Provider Data Summary (Myers and Stauffer) (.pdf)

2015

View DSH 2015 DSH Audit Report (Myers and Stauffer) (.pdf)

View DSH 2015 DSH Provider Data Summary (Myers and Stauffer) (.pdf)

2014

View DSH 2014 DSH Audit Report (Myers and Stauffer) (.pdf)

View DSH 2014 DSH Provider Data Summary (Myers and Stauffer) (.pdf)

2013

View DSH 2013 DSH Audit Report (Myers and Stauffer) (.pdf)

View DSH 2013 DSH Provider Data Summary (Myers and Stauffer) (.pdf)

2012

View DSH 2012 DSH Audit Report (Myers and Stauffer) (.pdf)

View DSH 2012 DSH Provider Data Summary (Myers and Stauffer) (.pdf)

2011

View DSH 2011 DSH Audit Report (Myers and Stauffer) (.pdf)

View DSH 2011 DSH Provider Data Summary (Myers and Stauffer) (.pdf)

2010

View the MSP 2010 DSH Audit Report (.pdf)

2009

View MSP 2009 DSH Audit Report (.pdf)

2008

View MSP 2008 DSH Audit Report (.pdf)

View MSP 2008 DSH Provider Data Summary (.pdf)

2007

View MSP 2007 DSH Audit Report (.pdf)

View MSP 2007 DSH Provider Data Summary (.pdf)

Past DSH Audit Materials

FFY 2019

On March 04, 2022, the information regarding the DSH Audit Notification was sent to Hospitals who received DSH funding for that FFY 2019.

View the 2019 DSH Notification letter (.pdf)
View the 2019 DSH Payment Listing (.pdf)
View the 2019 Frequently Asked Questions (.pdf)
View the 2019 Documentation Chart (.pdf)
View the 2019 DSH Cost Allocation Methodologies (.pdf)
View the 2019 DSH Cost Center Descriptions (.pdf)
View the 2019 DSH Instructional Presentation (.pdf)
View the 2019 DSH Audit & DY 8 UC Reconciliation Timeline (.pdf)

FFY 2018

On March 04, 2021, information regarding DSH Audit notification was sent to Hospitals who received DSH funding. 

View the 2018 DSH Notification Letter (.pdf)
View the 2018 DSH Payment Listing (.pdf)
View the 2018 Frequently Asked Questions (.pdf)
View the 2018 Documentation Chart (.pdf)
View the 2018 DSH Cost Allocation Methodologies (.pdf)
View the 2018 DSH Cost Center Descriptions (.pdf)
View the 2018 DSH Instructional Presentation (.pdf)