LIP/DSH/GME Operations

The LIP/DSH/GME section is responsible for managing the funding distributions and compliance of the Low Income Pool (LIP), Disproportionate Share Hospital (DSH) program, Hospital Rate Enhancements program, and the Graduate Medical Education (GME) Statewide Medicaid Residency program. This unit contracts with Local Intergovernmental Entities e.g. Counties, Taxing Districts, and public hospitals to fund these programs. 


The LIP program allocates $1.5 billion to ensure the continued governmental support for the safety net providers that furnish uncompensated charity care to the uninsured populations. This funding includes a combination of both Intergovernmental Transfers (IGTs) and federal dollars.


The DSH program distributes $239 million of combined funding from IGTs and federal dollars. DSH funding is used to compensate hospitals that have provided a disproportionate share of Medicaid and/or charity care services.


The Graduate Medical Education (GME) Statewide Medicaid Residency Program consists of $97.3 million used to provide funding to qualified participating hospitals involved in graduate medical education.  Additionally, the GME Startup Bonus Program provides $100 million to qualifying hospitals with newly approved residency positions in the statewide supply-and-demand deficit specialties.


The Public Emergency Medical Transportation (PEMT) certified public expenditure (CPE) program for Emergency Medical Services provides $15,000,000 to public entities for the provision of emergency transportation services to Medicaid fee-for-service beneficiaries.


The Florida Cancer Hospital Program