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Medicaid's Disproportionate Share Hospital (DSH) State Plan Amendment (SPA)

Under Medicaid's Disproportionate Share Hospital program (DSH), DMMA is authorized to make annual lump-sum supplemental Medicaid payments to qualified Delaware-based hospitals which serve a disproportionate share of Medicaid and low-income patients. Qualifying hospitals must have inpatient facilities located in Delaware, meet other federal and state requirements and in some cases must also have been enrolled as providers with DMMA's Managed Care Organizations and the Medicaid fee-for-service program in the consecutive 24 months immediately preceding the month of DSH payment.

An acute care hospital wishing to apply must submit a completed DSH application, which must be received by DMMA no later than 4:30 pm Eastern time, Friday, February 5, 2021. For a psychiatric hospital, the deadline is 4:30 pm, Wednesday, March 31, 2021. Questions about the DSH application process may be sent to Joshua Aidala at or you may call 302-255-9552. A copy of the DMMA Director's October 29, 2020 announcement, the DSH application form (DMMA Form DSH 1), and the instructions for completing the DSH application are below.