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This proposed rule would promote transparency by establishing new reporting requirements for states to provide CMS with certain information on supplemental payments to Medicaid providers, including supplemental payments approved under either Medicaid state plan or demonstration authority, and establish new state plan requirements for amendments proposing supplemental payments. Medicaid disproportionate share hospital payments are also included as part of the reporting requirements of this proposed rule; however, nothing in this rule changes or supersedes existing DSH audit regulations. Supplemental payments to federally qualified health centers, rural health clinics, and Indian Health Service and tribal facilities are not included in the reporting requirements, nor are payments which we define in existing regulations as pass-through or wrap-around payments, that are required by the State to be added to the contracted payment rates, included in this proposed rule.