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MEDICAID INFORMATION RELEASE 2005-07    
TO:                ALL HOSPITAL ADMINISTRATORS
 
FROM: LESLIE M. CLEMENT, Acting Deputy Administrator
                  
SUBJECT:       IDAHO MEDICAID DISPROPORTIONATE SHARE HOSPITAL (DSH) SURVEY
 
On September 30, 2005, Idaho Medicaid will distribute a DSH payment to all eligible hospitals for federal fiscal year 2005.  In order to be considered for a DSH payment, the hospital must:
 
·        Provide all data requested on the attached survey.  All data entered on the survey should be for the fiscal year indicated on the survey form.
 
·        Verify that the information in the shaded areas on the survey is correct, as provided by Myers and Stauffer LC.   If you disagree with any of this information, please attach documentation supporting the correct information.
 
·        Return the survey by May 31, 2005 to:
     Myers and Stauffer LC
     Attn:  Karen McKittrick
     8555 W. Hackamore Dr., Suite 100
     Boise, ID  83709-1693
 
      Please Note:  If the survey is received after May 31, 2005, the hospital will not be considered for a DSH payment.
 
If you have any questions concerning the survey, please contact Karen McKittrick at (208) 378-1400 or (800) 336‑7721.  Thank you for your participation in Idaho Medicaid.
 
 
LMC/SP/klm
 
Attachment mailed to affected providers.