# Medicare Program; FY 2014 Inpatient Prospective Payment Systems: Changes to Certain Cost Reporting Procedures Related to Disproportionate Share Hospital Uncompensated Care Payments
> **Centers for Medicare and Medicaid Services** · Interim final rule with comment period. · Published 2013-10-03 · Effective 2013-10-01 · 78 FR 61191
## Document
- **Document number:** 2013-24209
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 78 FR 61191
- **CFR reference:** 42 CFR 412
- **Publication date:** 2013-10-03
- **Effective date:** 2013-10-01
- **HHS docket:** CMS-1599-IFC
## Abstract

In the fiscal year (FY) 2014 inpatient prospective payment systems (IPPS)/long-term care hospital (LTCH) PPS final rule, we established the methodology for determining the amount of uncompensated care payments made to hospitals eligible for the disproportionate share hospital (DSH) payment adjustment in FY 2014 and a process for making interim and final payments. This interim final rule with comment period revises certain operational considerations for hospitals with Medicare cost reporting periods that span more than one Federal fiscal year and also makes changes to the data that will be used in the uncompensated care payment calculation in order to ensure that data from Indian Health Service (IHS) hospitals are included in Factor 1 and Factor 3 of that calculation.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2013/10/03/2013-24209/medicare-program-fy-2014-inpatient-prospective-payment-systems-changes-to-certain-cost-reporting)
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