What Are the Different Hospital Types in the 340B Program? DSH Requirement: > 11.75% If the children’s hospital doesn’t file a Medicare cost report, your hospital needs an independent …

Rural Referral Centers are defined in Section 1886 (d) (5) (C ) (i) of the Social Security Act; requirements for Rural Referral Centers can be found at 42 CFR 412.96. Rural Referral …

Disproportionate Share Hospitals serve low-income patients and receive payments from the Centers for Medicare & Medicaid Services to cover the costs of providing care to uninsured …

The RRC pathway to 340B eligibility provides an alternative for urban hospitals that do not exceed the disproportionate share adjustment percentage threshold for eligibility as a DSH. Figure 1 …

Section 340B requires pharmaceutical manufacturers that participate in the Medicaid and Medicare Part B programs to enter into a contract with the Secretary of Health and Human …

Hospitals whose DSH patient percentage exceeds 15 percent are eligible for a DSH payment adjustment based on another statutory formula. The formula varies for urban hospitals with …

2021年10月25日 · 3) DSH hospitals, children’s hospitals and free-standing cancer hospitals meeting the first two criteria. These hospitals are eligible to participate in the 340B program if …

The RRC program offers two other special payment provisions. First, qualifying RRCs receive a higher DSH adjustment than do other rural hospitals. Most rural hospitals’ DSH add-ons are …

In general, a Medicare participating acute care hospital is classified as a RRC if it is located in a rural area and it meets one of the following criteria: It has 275 or more beds available for use …

2013年8月2日 · A DSH may not purchase covered outpatient drugs through a GPO but is not subject to the orphan drug exclusion, while an RRC is not subject to the GPO prohibition but is …