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Disproportionate Share Hospital (DSH) Payments

Extra payments made by the Medicaid program to hospitals that serve a high number of Medicaid and uninsured patients, helping to cover their costs.

Medicaid State Plan Rate Year

A specific 12-month period that a state uses to set its payment rates and budgets for its Medicaid program.

Uncompensated Care Costs

The expenses hospitals incur for treating patients who cannot pay their medical bills, either because they are uninsured or because their insurance payments do not cover the full cost of care.

Title XIX of the Social Security Act

The section of federal law that established and governs the Medicaid program, which provides health coverage to low-income individuals and families.

Title XVIII of the Social Security Act

The section of federal law that established and governs the Medicare program, which provides health insurance primarily for people aged 65 or older, some younger people with disabilities, and people with End-Stage Renal Disease.

Medicaid State Plan Amendment (SPA)

A formal document that a state submits to the federal government to request changes or updates to its Medicaid program.