Disproportionate Medicaid Expenditures Select Analyses

This text examines high-expenditure Medicaid-only beneficiaries, considering states spending on them compared with all other Medicaid beneficiaries; their key characteristics; and their service usage compared with all other Medicaid-only beneficiaries. This book also provides an overview of Medicaid disproportionate share hospital (DSH). It includes a description of the rules delineating how state DSH allotments are calculated and the exceptions to the rules, how DSH hospitals are defined, and how DSH payments are calculated.