# Medicaid Program; State Disproportionate Share Hospital Allotment Reductions
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2013-09-18 · Effective 2013-11-18 · 78 FR 57293
## Document
- **Document number:** 2013-22686
- **Category:** medicaid
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 78 FR 57293
- **CFR reference:** 42 CFR 447
- **Publication date:** 2013-09-18
- **Effective date:** 2013-11-18
- **HHS docket:** CMS-2367-F
## Abstract

The statute, as amended by the Affordable Care Act, requires aggregate reductions to state Medicaid Disproportionate Share Hospital (DSH) allotments annually from fiscal year (FY) 2014 through FY 2020. This final rule delineates a methodology to implement the annual reductions for FY 2014 and FY 2015. The rule also includes additional DSH reporting requirements for use in implementing the DSH health reform methodology.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2013/09/18/2013-22686/medicaid-program-state-disproportionate-share-hospital-allotment-reductions)
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