{"abstract":"This final rule sets forth the data elements necessary to comply with the requirements of Section 1923(j) of the Social Security Act (Act) related to auditing and reporting of disproportionate share hospital payments under State Medicaid programs. These requirements were added by Section 1001(d) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA).","action":"Final 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/2008/12/19/E8-30000.html","cfr_references":[{"chapter":null,"citation_url":null,"part":447,"title":42},{"chapter":null,"citation_url":null,"part":455,"title":42}],"citation":"73 FR 77904","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective Date: This rule is effective on January 19, 2009.","disposition_notes":null,"docket_ids":["CMS-2198-F"],"dockets":[],"document_number":"E8-30000","effective_on":"2009-01-19","end_page":77952,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2008/12/19/E8-30000.xml","html_url":"https://www.federalregister.gov/documents/2008/12/19/E8-30000/medicaid-program-disproportionate-share-hospital-payments","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/E8-30000?publication_date=2008-12-19","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2008-12-19/E8-30000/mods.xml","not_received_for_publication":null,"page_length":49,"page_views":{"count":2981,"last_updated":"2026-10-22 22:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2008-12-19/pdf/E8-30000.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2008-12-19","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2008/12/19/E8-30000.txt","regulation_id_number_info":{"0938-AN09":{"issue":"200810","html_url":"https://www.federalregister.gov/regulations/0938-AN09/medicaid-disproportionate-share-hospital-payments-auditing-and-reporting-requirements-cms-2198-f-","title":"Medicaid Disproportionate Share Hospital Payments--Auditing and Reporting Requirements (CMS-2198-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=200810&RIN=0938-AN09&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AN09"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS_FRDOC_0001","supporting_documents_count":0,"docket_id":"CMS_FRDOC_0001","regulation_id_number":null,"title":"Recently Posted CMS Rules and Notices.","checked_regulationsdotgov_at":"2011-11-15T07:10:57Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":77904,"subtype":null,"title":"Medicaid Program; Disproportionate Share Hospital Payments","toc_doc":"Disproportionate Share Hospital Payments","toc_subject":"Medicaid Programs:","topics":["Accounting","Administrative practice and procedure","Drugs","Fraud","Grant programs-health","Health facilities","Health professions","Investigations","Medicaid","Reporting and recordkeeping requirements","Rural areas"],"type":"Rule","volume":73}