SCA is leading efforts in Florida to preserve providers’ appeal rights of their Low Income Pool (LIP) population. The LIP program was approved through an 1115 Medicaid waiver. Therefore, the days/patients associated with the LIP program should be allowed in the Medicaid fraction of the Medicare DSH calculation.

SCA assists hospitals in identifying all days/patients associated with the LIP program. This detailed documentation will serve as support for the pending appeals and ultimate settlement by the MAC.