Data / Federal rules / 2024-03542
Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule
The Centers for Medicare & Medicaid Services published this final rule in the Federal Register on February 23, 2024. It took effect on April 23, 2024.
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What the agency says
This final rule primarily addresses recent legislative changes to the Social Security Act as a result of the Consolidated Appropriations Act, 2021 changes to the hospital-specific limit on Medicaid disproportionate share hospital (DSH) payments. This final rule affords States and hospitals more clarity on how the limit, the changes that took effect on October 1, 2021, will be calculated. Additionally, this final rule enhances administrative efficiency by making technical changes and clarifications to the DSH program.
Key facts
- Document number
- 2024-03542
- Type
- Final rule
- Action
- Final rule
- Agency
- Health and Human Services Department; Centers for Medicare & Medicaid Services
- Published
- February 23, 2024
- Takes effect
- April 23, 2024
- Dates
- Effective date: These regulations are effective on April 23, 2024.
- Docket
- CMS-2445-F
- Regulation ID (RIN)
- 0938-AV00
- Code of Federal Regulations
- 42 CFR 433; 42 CFR 447; 42 CFR 455; 42 CFR 457
- Topics
- Accounting; Administrative practice and procedure; Child support; Claims; Drugs; Fraud; Grant programs-health; Health facilities; Health insurance; Health professions; Investigations; Medicaid; Reporting and recordkeeping requirements; Rural areas
- Pages
- 33
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Read from the Federal Register API, last updated 2026-10-23. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.