{"id":608,"date":"2025-02-25T17:12:39","date_gmt":"2025-02-25T17:12:39","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dmma\/dshpap\/"},"modified":"2025-11-13T11:53:37","modified_gmt":"2025-11-13T15:53:37","slug":"dshpap","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dmma\/dshpap\/","title":{"rendered":"dshpap ~  Disproportionate Share Hospital Program  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\r\n\r\n&nbsp;\r\n<div id=\"main_header\" class=\"container\">\r\n\r\n<!-- BEGIN readspeaker div -->\r\n<div id=\"readspeaker_button1\" class=\"rs_skip rsbtn rs_preserve\">\r\n\r\n&nbsp;\r\n\r\n<span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\">Listen<\/span><\/span>\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<!-- END readspeaker div -->\r\n\r\n<header class=\"pull-left\">\r\n<h1><!--[type=EDIT name=\"Page Title\"]--><!--[END]--><\/h1>\r\n<\/header><\/div>\r\n&nbsp;\r\n<div class=\"container\">\r\n<div class=\"row\">\r\n<div id=\"leftCol\" class=\"col-md-3\">\r\n<div id=\"accordion\" class=\"panel-group\">\r\n<div class=\"panel sectionmenu_panel\">\r\n<div class=\"panel-heading\">\r\n<p class=\"panel-title\"><a class=\"agency_nav\" href=\"#collapseOne\" data-parent=\"#accordion\" data-toggle=\"collapse\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i>Medicaid &amp; Medical Assistance Menu<\/strong><\/a><\/p>\r\n\r\n<\/div>\r\n<div id=\"collapseOne\" class=\"panel-collapse collapse in\">\r\n<div id=\"clf_nav\" class=\"panel-body\">\r\n<ul class=\"nav nav-stacked nav-pills-clf\">\r\n \t<li style=\"list-style-type: none\">\r\n<ul class=\"nav nav-stacked nav-pills-clf\">\r\n \t<li><a href=\"\/dmma\/\">\r\n<\/a>\r\n<h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2>\r\n&nbsp;<\/li>\r\n \t<li class=\"toplevel\"><a href=\"#HomeMenu\" data-parent=\"#agency_sidebar\" data-toggle=\"collapse\">\r\n<\/a>\r\n<h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2>\r\n&nbsp;\r\n<ul id=\"HomeMenu\" class=\"panel-collapse collapse\">\r\n \t<li><a href=\"\/dmma\/about.html\">About DMMA<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/sections.html\">Sections &amp; Programs<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/faqs.html\">FAQs<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/links.html\">Related Links<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/contact.html\">Contact Information<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/locations.html\">Office Locations<\/a><\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li class=\"toplevel\"><a href=\"#ServicesMenu\" data-parent=\"#sidebar\" data-toggle=\"collapse\">\r\n<\/a>\r\n<h2>Services <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2>\r\n&nbsp;\r\n<ul id=\"ServicesMenu\" class=\"panel-collapse collapse\">\r\n \t<li><a href=\"\/dmma\/services.html\">Programs and Services<\/a><\/li>\r\n \t<li><a href=\"\/atoz\/\">A-Z of DHSS Services<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/adult_dental_benefits.html\">Adult Dental Benefits<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/homeandc.html\">Developmental Disabilities Home &amp; Community Based Waiver Program<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/medast.html\">Medical Assistance Programs<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/medicaid.html\">Medicaid<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/dhcp.html\">Healthy Children (CHIP)<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/dpap.html\">Prescription Assistance (DPAP)<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/ltcmedicaid.html\">Long Term Care<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/disabledchildren.html\">Children&#8217;s Community Alternative Disability Program<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/hcbs_trans_plan.html\">Home &amp; Community Based Services Statewide Transition Plan<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/medical.html\">Transportation<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/crdprog.html\">Chronic Renal Disease<\/a><\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li class=\"toplevel\"><a href=\"#InformationMenu\" data-parent=\"#sidebar\" data-toggle=\"collapse\">\r\n<\/a>\r\n<h2>Information <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2>\r\n&nbsp;\r\n<ul id=\"InformationMenu\" class=\"panel-collapse collapse\">\r\n \t<li><a href=\"\/dmma\/children_with_medical_complexity.html\">Children with Medical Complexity<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/fpl.html\">Eligibility<\/a><\/li>\r\n \t<li><a href=\"https:\/\/medicaidpublications.dhss.delaware.gov\/docs\/Search?EntryId=49\">Pharmaceutical and Therapeutics (P &amp; T) Committee<\/a><\/li>\r\n \t<li><a href=\"https:\/\/medicaid.dhss.delaware.gov\/\">Provider Manuals<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/regs.html\">Regulations<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/reports.html\">Reports<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/info_stats.html\">Public Information and Statistics<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/pubs.html\">Publications &amp; Forms<\/a><\/li>\r\n \t<li><a href=\"\/dmma\/resources.html\">Resources<\/a><\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>\r\n\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n&nbsp;\r\n\r\n<\/div>\r\n<div id=\"main_content\" class=\"col-md-9\">\r\n\r\n<!--[type=HTMLEDIT name=\"Content\"]-->\r\n<font color=\"black\">\r\n<h1 style=\"margin: 20px 0px 10px;line-height: 1.1;background-color: #ffffff\">Medicaid&#8217;s Disproportionate Share Hospital (DSH) State Plan Amendment (SPA)<\/h1>\r\n<span style=\"font-family: arial,helvetica,sans-serif\">Under Medicaid&#8217;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&#8217;s Managed Care Organizations and the Medicaid fee-for-service program in the consecutive 24 months immediately preceding the month of DSH payment. <\/span>\r\n<br>\r\n<br>\r\n<span style=\"font-family: arial,helvetica,sans-serif\">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 Monday, February 2, 2026. For a psychiatric hospital, the deadline is 4:30 pm EST Tuesday, March 31, 2026. Please be aware that applying hospitals are required to submit supporting documentation for their data at the time the application is submitted; please refer to the application instructions for further guidance regarding the submission process.  \u00a0<\/span>\r\n<br>\r\n<br>\r\n<span style=\"font-family: arial,helvetica,sans-serif\">Links are provided below to pertinent DSH documentation, including the DSH application form (DMMA Form DSH 1) and completion instructions.  Any DSH-related questions can be directed to Joshua Aidala at (302) 255-9552, or via e-mail at <a href=\"mailto:Joshua.Aidala@delaware.gov\">Joshua.Aidala@delaware.gov<\/a>.<\/span>\r\n<ul>\r\n \t<li><span style=\"font-size: 16px\"><span style=\"font-family: arial,helvetica,sans-serif\"><a href=\"\/wp-content\/uploads\/sites\/9\/2025\/11\/SFY26_Medicaid-DSH-Hospital-Announcement.docx\">Medicaid DSH Hospital Announcement<\/a><\/span><\/span><\/li>\r\n \t<li><span style=\"font-size: 16px\"><span style=\"font-family: arial,helvetica,sans-serif\"><a href=\"\/wp-content\/uploads\/sites\/9\/2025\/11\/SFY26_DMMA-Form-DSH-1-Instructions_11-12-25.docx\">Delaware Medicaid Form DSH 1 Instructions<\/a><\/span><\/span><\/li>\r\n \t<li><span style=\"font-size: 16px\"><span style=\"font-family: arial,helvetica,sans-serif\"><a href=\"\/wp-content\/uploads\/sites\/9\/2025\/11\/SFY26_DMMA-Form-DSH-1-for-FY2024-Data.xlsx\">DMMA Form DSH 1 for FY2024 Data (Excel File)<\/a><\/span><\/span><\/li>\r\n \t<li><a href=\"\/wp-content\/uploads\/sites\/9\/2025\/11\/MSLC-DSH-Web-Portal-Registration-Form.xlsx\"><span style=\"font-size: 16px\"><span style=\"font-family: arial,helvetica,sans-serif\">Web Portal Registration Form (Excel)<\/span><\/span><\/a><\/li>\r\n<\/ul>\r\n<!--[END]-->\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<!-- \/container -->\r\n\r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>&nbsp; &nbsp; Listen &nbsp; &nbsp; &nbsp; Medicaid &amp; Medical Assistance Menu Home &nbsp; About &nbsp; About DMMA Sections &amp; Programs FAQs Related Links Contact Information Office Locations Services &nbsp; Programs and Services A-Z of DHSS Services Adult Dental Benefits Developmental Disabilities Home &amp; Community Based Waiver Program Medical Assistance Programs Medicaid Healthy Children (CHIP) Prescription [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-608","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages\/608","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/comments?post=608"}],"version-history":[{"count":4,"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages\/608\/revisions"}],"predecessor-version":[{"id":1180,"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages\/608\/revisions\/1180"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/media?parent=608"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}