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HHS/CMS RIN: 0938-AV00 Publication ID: Fall 2023 
Title: Disproportionate Share Hospital (DSH) Third Party Payer (CMS-2445) 
Abstract:

This final rule implements requirements under section 203 of the Consolidated Appropriations Act, 2021 (CAA), which relate to Medicaid shortfall and third-party payments. This rule also makes additional technical changes to the DSH program.

 
Agency: Department of Health and Human Services(HHS)  Priority: Section 3(f)(1) Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 433    42 CFR 447    42 CFR 455    42 CFR 457   
Legal Authority: 42 U.S.C. sec. 1923 (g)   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  02/24/2023  88 FR 11865   
NPRM Comment Period End  04/25/2023 
Final Action  02/00/2024 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Rory Howe
Director, Financial Management Group
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and CHIP Services, MS: S3-14-28, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4878
Email: rory.howe@cms.hhs.gov