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HHS/CMS RIN: 0938-AQ37 Publication ID: 2012 
Title: Medicaid Disproportionate Share Hospital Payments Uninsured Definition (CMS-2315-F) 
Abstract: This rule addresses the hospital-specific limitation on Medicaid disproportionate share hospital (DSH) payments under section 1923(g)(1)(A) of the Social Security Act. Under this limitation, DSH payments to a hospital cannot exceed the uncompensated costs of furnishing hospital services by the hospital to individuals who are Medicaid-eligible or "have no health insurance (or other source of third party coverage) for the services furnished during the year." 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 447   
Legal Authority: 1923(g) of the Social Security Act   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  01/18/2012  77 FR 2500   
NPRM Comment Period End  02/17/2012    
Final Action  05/00/2013 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Small Entities Affected: Businesses, Governmental Jurisdictions  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Rory Howe
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Mail Stop S3-13-11, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-8533
Email: rory.howe@cms.hhs.gov