Texas
Texas Health and Human Services Commission

Texas Health and Human Services Commission

Myers and Stauffer LC is a certified public accounting firm that provides professional accounting, consulting, data management, and analysis services to government-sponsored health care programs. Myers and Stauffer is engaged to perform federally-mandated independently certified audits of the state of Texas disproportionate share hospital (DSH) payment program and also performs annual uncompensated care distribution final reconciliations. 

Important Contact Information
Phone: 785.228.6700
Phone: 800.225.2309
Fax: 785.228.6701

Email for DSH and UC Survey:
TXDSH@mslc.com

For Information on our contract with Texas Department of Information Resources (DIR), click here.

Disproportionate Share Hospital Examinations

In order to comply with the federal regulation regarding disproportionate share hospital (DSH) payments issued by CMS on December 19, 2008, the Texas Health and Human Services Commission (HHSC) has contracted with Myers and Stauffer LC, a certified public accounting firm, to perform the mandated audits. (See Federal Register Vol. 73, No. 245, December 19, 2008, rules and regulations.)

Uncompensated Care Waiver Program Final Reconciliation

The Texas Health and Human Services Commission (HHSC) has also contracted with Myers and Stauffer LC to perform a reconciliation of finalized costs to uncompensated care (UC) distributions made to participating hospitals under the Section 1115 Texas Healthcare Transformation and Quality Improvement Program Waiver. The UC reconciliations are completed concurrently with the annual DSH payment examination.

Please visit https://dsh.mslc.com/ to access the secure file transfer web portal for both of these projects. If you have difficulty accessing the web portal, please call 785.228.6700 for support.

Below you will find a presentation for the DSH year 2019 payment examination and DSH hospital UC DY8 reconciliation provider training. It is intended to assist hospitals with the completion of the DSH and UC surveys.

Texas DSH 2019 Examination and UC DY9 Final Reconciliation Timeline