# Medicaid Program; State Disproportionate Share Hospital Allotment Reductions
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2019-09-25 · Effective 2019-11-25 · 84 FR 50308
## Document
- **Document number:** 2019-20731
- **Category:** medicaid
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 84 FR 50308
- **CFR reference:** 42 CFR 447
- **Publication date:** 2019-09-25
- **Effective date:** 2019-11-25
- **HHS docket:** CMS-2394-F
## Abstract

The statute requires aggregate reductions to state Medicaid Disproportionate Share Hospital (DSH) allotments annually beginning with fiscal year (FY) 2020. This final rule delineates the methodology to implement the annual allotment reductions.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2019/09/25/2019-20731/medicaid-program-state-disproportionate-share-hospital-allotment-reductions)
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