Hospital Care Assurance Program – 2003 Program Year

The Hospital Care Assurance Program (HCAP) is Ohio's version of the federally required Disproportionate Share Hospital program. HCAP compensates hospitals who provide a disproportionate share of care to indigent patients (Medicaid consumers, people below poverty, and people without health insurance).

The assessment and model calculations for the FFY 2003 Hospital Care Assurance Program have been completed. The data for the model is taken from interim settled Medicaid Cost Reports for SFY 2002. For most providers this would be the year ending 12/31/2001 or 6/30/2002

The FFY 2003 HCAP program distributes $477.5 million to providers. Of that amount, $196.9 million was collected in the form of assessments to providers, with the balance of the funds provided by the Federal Government. The assessment and payment amounts for FFY 2003 may be downloaded by clicking on the link below.

HCAP2003 (xls). Updated on 8/19/03. Most spreadsheet programs should be able to open this file.

DISCLAIMER: The Department of Medicaid has taken appropriate measures to ensure that the file you are getting matches the actual assessments and payments for this year's program. However, it is possible that variations may occur in the process of converting the file between spreadsheet applications. By downloading this file you are accepting it as is and agree that the Department is not responsible for any errors or omissions. In the event that there are differences between this file and the actual or payments, the version of the model maintained by the department shall supercede this file.

Due to outstanding issues with certain hospital providers, the amount generated by hospital assessments is insufficient to make eligible payments of $477,456,433.00 to all hospitals. Hence, the Bureau of Health Plan Policy has invoked OAC 5101:3-2-09 (J)(4) and reduced the amount of payments to all hospitals by 0.088568%. Thus, each hospital eligible for a payment, shall receive payments that are 0.088568% less than the payment rates shown in the attached payment schedule (reduction is reflected in Payment 2 - due 10/15/03). When funds to make the full payment amount are eventually available, we shall make additional payments accordingly.

Each year, in an effort to ensure that valid data is used, the Department conducts data reviews on a select number of hospitals. The review process requires that selected providers send to the Department the required backup documentation to support the amounts shown on Schedule F of the Medicaid Cost Report (JFS 02930). The results of the data reviews are compiled into the HCAP Data Review Final Summary Report (to be posted soon).

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