Disproportionate Share Hospital Services

Disproportionate Share Hospital Program (DSH) is a program of hospital care for Kentucky's indigent citizenry provided by Kentucky hospitals participating in the Kentucky Medicaid Program. Prior to billing a patient and prior to submitting the cost of the hospital service to Medicaid as uncompensated, a hospital uses the DSH Application - indigent care eligibility form to assess a patient's financial situation to determine if the patient meets the DSH guidelines.

Patient eligibility requirements

  • The patient must be a Kentucky resident.
  • Resources (financial and other) belonging to the patient and the patient's family are taken into consideration during the determination.
  • The patient cannot have any other medical insurance coverage, including private insurance, any type of government-funded coverage, KCHIP, or be eligible for Medicaid.

How do I verify eligibility? Once eligibility has been obtained, you may verify continued eligibility by one of the following methods:

  • by contacting the Automated Voice Response System at (800) 807-1301
  • by using the Web-based KYHealth-Net System  

Provider Contact Information

If you can't find the information you need or have additional questions, please direct your inquiries to:

Billing Questions - DXC - (800) 807-1232
Provider Questions - (855) 824-5615

Provider MCO Information

Anthem - (800) 205-5870 
Aetna Better Health of KY - (855) 300-5528 
Humana - (855) 852-7005
Passport Health Plan- (800) 578-0775
WellCare of KY - (877) 389-9457     


907 KAR 3:130 (Medical necessity and clinically appropriate determination basis)
907 KAR 10:820 (Disproportionate share hospital distributions)

Provider Resources

Billing Information
Fee and Rate Schedules
Provider Letters

DSH Training

SFY 2015 Kentucky DSH Examination Provider Training


DSH Application (English)
DSH Application (Español)

Contact Information