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CMS Finalizes Medicaid DSH Third-Party Payment Calculation

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What’s happening: The Centers for Medicare & Medicaid Services finalized changes to how states calculate the hospital-specific cap for Medicaid disproportionate share hospitals (DSH). 

What else to know: The rule is effective April 23.  

The final rule implements changes to the calculation under the Consolidations Appropriations Act of 2021 and clarifies the timing and availability of certain data, methodology, and technical requirements in the proposed rule.  

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