Disproportionate Share Hospital Payments

Disproportionate Share Hospital (DSH) payments provide financial assistance to hospitals that serve a large number of low-income patients such as people on Medicaid and the uninsured. Medicaid DSH payments are the largest source of federal funding for uncompensated care.


Scheduled Payment Dates

Disproportionate Share Hospital payments are scheduled to be made to private hospitals each fall.

Additional DSH funds are available to hospitals as a part of intergovernmental agreements between AHCCCS, and a political subdivision / tribal government / state university using local funds to match federal DSH funding. For more information, please contact Wendy Ecker.

  • NOTES:
  • Hospital partners must have final IGAs by June 15, 2022, and matching monies to AHCCCS for DSH 2021 payments by February 28, 2023. Beginning March 1, 2023, any unspent allocation may be reallocated to another hospital.

Template IGA Agreement for 2021 DSH

Payment History

2016 - 2020 | Excel Version