Review of Medicaid Disproportionate Share Hospital Payments Made by Maine to the Riverview Psychiatric Center

The Maine Department of Health and Human Services (the State agency) made disproportionate share hospital (DSH) payments totaling $52.2 million ($33 million Federal share) to the Riverview Psychiatric Center for State fiscal years (FY) 2007 and 2008. The DSH payments totaling $24.6 million ($15.6 million Federal share) that the State agency claimed for FY 2007 did not exceed the hospital-specific DSH limit imposed by Federal requirements and the State plan. However, the DSH payments totaling $28 million ($17.5 million Federal share) that the State agency claimed for FY 2008 exceeded the hospital-specific DSH limit by $2.1 million ($1.3 million Federal share).