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Disproportionate Share Hospital Program (DSH) is a program of hospital care for Kentucky's indigent citizenry provided by Kentucky hospitals participating in the Kentucky Medicaid Program. Prior to billing a patient and prior to submitting the cost of the hospital service to Medicaid as uncompensated, a hospital uses the DSH Application - indigent care eligibility form to assess a patient's financial situation to determine if the patient meets the DSH guidelines.

Patient eligibility 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, or be eligible for Medicaid.

Provider Contact Information

  •  For billing questions, contact DXC at (800) 807-1232 or visit the website
  • For provider questions, contact the Provider Services Call Center at  (855) 824 5615
  • For provider enrollment or revalidation questions, contact Provider Enrollment at (877) 838-5085
  • For KyHealth-net assistance, email DXC 
  • To report fraud and abuse, contact Fraud Hotline at (502) 564-2348