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HHS/CMS RIN: 0938-AN09 Publication ID: Fall 2008 
Title: Medicaid Disproportionate Share Hospital Payments--Auditing and Reporting Requirements (CMS-2198-F) 
Abstract: This rule implements section 1001(d) of the Medicare Prescription Drug Improvement and Modernization Act of 2003, which requires States to report additional information about their disproportionate share hospital (DSH) programs in their annual report. This section also requires States to independently audit and submit these certified audits annually to the Secretary. 
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    42 CFR 455   
Legal Authority: sec 1923(a)(2)(D) of the Social Security Act, MMA   
Legal Deadline:
Action Source Description Date
Final  Statutory  sec 1001(d) of MMA.  12/08/2003 
Timetable:
Action Date FR Cite
NPRM  08/26/2005  70 FR 50262   
Final Action  11/00/2008    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
James Frizzera
Director, National Institutional Payment Policy
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and State Operations, Mailstop S3-13-15, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-9535
Email: james.frizzera@cms.hhs.gov