Disproportionate Share Hospital (DSH) Program

The Disproportionate Share Hospital (DSH) program is part of federal Medicaid regulations. The purpose of the program is to provide supplemental payments to those hospitals in the state which provide a disproportionate share of services to indigents and the uninsured. The federal government provides a specific annual allotment of federal funds for each state, which in turn must match those funds with state dollars. The Nevada formula for distributing these payments is authorized pursuant to Nevada Revised Statutes (NRS) 422.380 – 387 and the State Plan for Medicaid Attachment 4.19-A, Pages 21-25. This program relies on hospital financial data from all payer types.