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HHS/CMS RIN: 0938-AQ37 Publication ID: Spring 2011 
Title: Medicaid Disproportionate Share Hospital Payments (CMS-2315-P) 
Abstract: This proposed rule would define individuals who have no health insurance (or other source of third party coverage) for purposes of calculating limits on the amount of payments to disproportionate share hospitals. Recently, CMS has become aware of the potential for unintended financial impact on States and hospitals resulting from guidance associated with the 2009 promulgation of CMS-2198-F, Medicaid Disproportionate Share Hospital Payments. This proposed rule will ensure consistency with longstanding CMS policy and avoid any such unintended financial impact. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed 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  08/00/2011    
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