Disproportionate Share Hospital (DSH) Services

Prior to billing a patient, and prior to submitting the cost of the hospital service to Medicaid as uncompensated, a hospital shall use the Indigent Care Eligibility form (DSH-001, see DSH application under Related Content) to assess a patient's financial situation to determine if the patient meets the DSH guidelines.

The patient must also meet the following requirements:

• The patient must be a Kentucky resident.
• Resources (financial and other) belonging to the patient, and the patient's family, are taken into consideration during the determination.
• The patient cannot have any other medical insurance coverage, including private insurance, any type of government funded coverage, KCHIP, nor be eligible for Medicaid.