OHA - The Ohio Hospital Association

About HCAP

The Hospital Care Assurance Program (HCAP) is the Ohio Department of Job and Family Services' mechanism for meeting the federal requirement to provide additional payments to hospitals which provide a disproportionate share of uncompensated services to the indigent and uninsured.

Provider assessments levied against all acute care and freestanding hospitals in Ohio generate the basic funding source for this program.  These assessment dollars are pooled with matching federal Medicaid DSH funds.  This pool is then distributed back to the hospitals based on a formula that uses Medicaid losses and uncompensated care costs as proxies for measuring the relative level of each hospital's indigent care services to statewide indigent care services.

The current HCAP program meets the federal requirement that the assessment rate be uniform across all providers and that 10% of the hospitals receive less than their assessed amount in HCAP funding.

For Federal Fiscal Year 2007 HCAP, the following structure of assessments and federal funds will be used:                          

2007 Hospital Assessments $221,563,000
2007 Federal Share  $326,397,000
2007 Total Available HCAP Funds $547,960,000

 

FAQ's

Frequently asked questions about HCAP eligibility and reporting.  This is a highly recommended source for financial, patient accounting, or auditing personnel.

History

Sizes of previous HCAP programs and some data used in prior years.

State and Federal Law

How HCAP is legislated and regulated at both the state and federal levels.

Current Timeline

Important dates to remember as the current program year progresses.

"HCAP--Care to Play Again?"   

In-Depth Article on the Hospital Care Assurance Program

Courtesy of the Ohio Legislative Budget Office and its Ohio Issues publication, "Care to Play Again?" offers background, history, and details of the program, including the role of both the Ohio Department of Job and Family Services and that of the Ohio Hospital Association.

2003 Federal DSH Cuts

Background and possible impact of the scheduled FY 2003 cuts to the HCAP program in Ohio, and advocacy efforts to stop the pending falloff.

OHA Board HCAP Principles

In August of 2005, the OHA Board of Trustees adopted these principles as the guidelines for their future recommendations for the Hospital Care Assurance Program.

© 2001-2007 OHA. Last updated December 05, 2007.
Please direct comments, corrections or additions to: oha@ohanet.org 614.221.7614.