The Newborn Assistance Program provides financial benefits to the hospital’s smallest patients and additional revenue to the hospital. Newborns that satisfy specific medical criteria are entitled to the Supplemental Security Income (SSI) program, administered by the Social Security Administration (SSA). These benefits are available to families of all income levels and can help ease financial concerns in a time when the future care of their newborn is uncertain.

Additional Medicaid days identified through this program will increase a hospital’s Medicare DSH payment and their portion of the uncompensated care pool reimbursement. In some cases, the additional Medicaid days have pushed the Disproportionate Patient Percentage (DPP) high enough to qualify hospitals for Medicare DSH and/or 340B.

There is no retroactivity to this program. SCA has a program to train the appropriate hospital staff to identify these newborns. We provide the hospital with tools to capture necessary data and monitor the application process to ensure the newborn and the hospital receive all benefits. SCA also provides the hospital with analytics on the success rate of the program to highlight increases in Medicaid enrollment and to quantify any missed reimbursement opportunities.

Contact our office for a free analysis to see if your hospital may benefit from the Newborn Assistance Program.