{"abstract":"This proposed rule would address recent legislative changes to the Social Security Act, which governs the hospital-specific limit on Medicaid disproportionate share hospital (DSH) payments, as a result of the Consolidated Appropriations Act, 2021. This proposed rule would afford States and hospitals more clarity on how the limit, the changes to which took effect on October 1, 2021, will be calculated. Additionally, this proposed rule would enhance administrative efficiency by making technical changes and clarifications to the DSH program.","action":"Proposed rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2023/02/24/2023-03673.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"433","title":42},{"chapter":null,"citation_url":null,"part":"447","title":42},{"chapter":null,"citation_url":null,"part":"455","title":42},{"chapter":null,"citation_url":null,"part":"457","title":42}],"citation":"88 FR 11865","comment_url":null,"comments_close_on":"2023-04-25","correction_of":null,"corrections":[],"dates":"To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on April 25, 2023.","disposition_notes":null,"docket_ids":["CMS-2445-P"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":41,"comment_start_date":"2023-02-24","updated_at":"2023-04-26T01:01:43.076-04:00","comment_url":"https://www.regulations.gov/commenton/CMS-2023-0026-0001","allow_late_comments":null,"id":"CMS-2023-0026-0001","comment_end_date":"2023-04-26","regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2023-0026","title":"Medicaid Program; Disproportionate Share Hospital Third Party Payer Proposed Rule (CMS-2445-P)"}],"document_number":"2023-03673","effective_on":null,"end_page":11887,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2023/02/24/2023-03673.xml","html_url":"https://www.federalregister.gov/documents/2023/02/24/2023-03673/medicaid-program-disproportionate-share-hospital-third-party-payer-rule","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2023-03673?publication_date=2023-02-24","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2023-02-24/2023-03673/mods.xml","not_received_for_publication":null,"page_length":23,"page_views":{"count":4160,"last_updated":"2026-09-21 20:15:12 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-02-24/pdf/2023-03673.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-03673.pdf?1677100517","publication_date":"2023-02-24","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2023/02/24/2023-03673.txt","regulation_id_number_info":{"0938-AV00":{"issue":"202310","html_url":"https://www.federalregister.gov/regulations/0938-AV00/disproportionate-share-hospital-dsh-third-party-payer-cms-2445-","title":"Disproportionate Share Hospital (DSH) Third Party Payer (CMS-2445)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202310&RIN=0938-AV00&operation=OPERATION_EXPORT_XML","priority_category":"Section 3(f)(1) Significant"}},"regulation_id_numbers":["0938-AV00"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AV00/disproportionate-share-hospital-dsh-third-party-payer-cms-2445-","title":"Disproportionate Share Hospital (DSH) Third Party Payer (CMS-2445)"},"comments_count":41,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2023-0026","supporting_documents_count":0,"docket_id":"CMS-2023-0026","document_id":"CMS-2023-0026-0001","regulation_id_number":"0938-AV00","title":"Medicaid Program; Disproportionate Share Hospital Third Party Payer Proposed Rule (CMS-2445-P)","checked_regulationsdotgov_at":"2023-04-27T01:00:08Z"},"regulations_dot_gov_url":null,"significant":false,"signing_date":null,"start_page":11865,"subtype":null,"title":"Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule","toc_doc":"Disproportionate Share Hospital Third-Party Payer Rule","toc_subject":"Medicaid Program:\n","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"],"type":"Proposed Rule","volume":88}