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Document ID: CMS-2012-0006-0004
Document Type: Public Submission
Agency: Centers For Medicare & Medicaid Services
Received Date: January 18 2012, at 12:00 AM Eastern Standard Time
Date Posted: February 23 2012, at 12:00 AM Eastern Standard Time
Comment Start Date: January 18 2012, at 12:00 AM Eastern Standard Time
Comment Due Date: February 17 2012, at 11:59 PM Eastern Standard Time
Tracking Number: 80f99947
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This is comment on Proposed Rule

Medicaid Program: Disproportionate Share Hospital Payments; Uninsured Definition

View Comment

How should Medicaid programs treat out-of-pocket costs for the first portion of an inpatient stay? Some of these scenarios appear as pre-existing conditions and some may be more of a deductible/coninsurance issue. Example: A patient is admitted for an inpatient stay and their insurance does not cover the first five days. The patient must pay out-of-pocket until day six. Can the first five days of that stay be included in uninsured or is it the view of CMS that this is a coinsurance/deductible even if it isn't specified as such?