Disproportionate Share Hospital Requirements

The data to fulfill the Disproportionate Share Hospital (DSH) data requests are extracted from a system of records entitled Medicare Provider Analysis and Review, also known as "MEDPAR" (HHS/HCFA/OIS, 09-07-0009, 65 Fed. Reg. 50548). The MEDPAR system collects and disseminates information necessary "to recalculate Supplemental Security income ("SSI") ratios for hospitals that are paid under the Prospective Payment System ("PPS") and serve a disproportionate share of low-income patients." The purpose of this task order is to provide the Office of Information Services (OIS) within CMS support for the following: (1) Modifying existing SAS programs to correctly process a backlog of approved "Not-for-Pay" requests for the Medicare DSH Report files; and (2) Securely disseminating the DSH data requests processed. The DSH Report backlog is comprised of approximately 1,100 approved requests for cost periods encompassing December 8, 2004. If the approved request reflects a time period that spans multiple Federal Fiscal Years, the report files disseminated shall include 12 months of data from each federal fiscal year.