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 that provide a disproportionate share of uncompensated services to the indigent and uninsured.

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

For Federal Fiscal Year 2011 HCAP, the following structure of assessments and federal funds will be used:

2011 Hospital Assessments $198,661,026
2011 Federal Share $346,440,794
2011 Total Available HCAP Funds $545,101,820

Preliminary 2011 Uncompensated Care Data:

Uncompensated Care costs for uninsured patients with income below FPL $600,549,927
Uncompensated Care costs for uninsured patients with income above FPL $599,897,710
Medicaid Shortfall $644,510,692
Total OBRA Cap $1,844,958,329

For more information, please visit our most recent Frequently Asked Questions about HCAP rules, eligibility, and procedures. If you have a question about the status of a pending HCAP application or need to request an application, please contact the hospital where you applied or would like to apply for the program.