# Medicare Program; Medicare Inpatient Disproportionate Share Hospital (DSH) Adjustment Calculation: Change in the Treatment of Certain Medicaid Patient Days in States With 1115 Expansion Waivers
> **Centers for Medicare and Medicaid Services** · Interim final rule with comment period. · Published 2000-01-20 · Effective 2000-01-20 · 65 FR 3136
## Document
- **Document number:** 00-1357
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 65 FR 3136
- **CFR reference:** 42 CFR 412
- **Publication date:** 2000-01-20
- **Effective date:** 2000-01-20
- **HHS docket:** HCFA-1124-IFC
## Abstract

This interim final rule with comment period implements a change to the Medicare DSH adjustment calculation policy in reference to section 1115 expansion waiver days. This rule sets forth the criteria to use in calculating the Medicare DSH adjustment for hospitals for purposes of payment under the prospective payment system.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2000/01/20/00-1357/medicare-program-medicare-inpatient-disproportionate-share-hospital-dsh-adjustment-calculation)
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