This document is scheduled to be published in theFederal Register on 05/15/2013 and available online at
, and on
DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid Services42 CFR Part 447[CMS-2367-P]RIN 0938-AR31Medicaid Program; State Disproportionate Share Hospital Allotment ReductionsAGENCY:
Centers for Medicare & Medicaid Services (CMS), HHS.
The statute, as amended by the Affordable Care Act, requires aggregatereductions to state Medicaid Disproportionate Share Hospital (DSH) allotments annuallyfrom fiscal year (FY) 2014 through FY 2020. This proposed rule delineates amethodology to implement the annual reductions for FY 2014 and FY 2015. The rulealso proposes to add additional DSH reporting requirements for use in implementing theDSH health reform methodology.
: To be assured consideration, comments must be received at one of theaddresses provided below, no later than 5 p.m. on
OFR--insert date 60 days after the dateof filing for public inspection at OFR
In commenting, please refer to file code CMS-2367-P. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission.You may submit comments in one of four ways (please choose only one of theways listed):1. Electronically. You may submit electronic comments on this regulation to
. Follow the "Submit a comment" instructions.2. By regular mail. You may mail written comments to the following address