# Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2024-02-23 · Effective 2024-04-23 · 89 FR 13916
## Document
- **Document number:** 2024-03542
- **Category:** medicaid
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 89 FR 13916
- **CFR reference:** 42 CFR 433
- **Publication date:** 2024-02-23
- **Effective date:** 2024-04-23
- **HHS docket:** CMS-2445-F
## Abstract

This final rule primarily addresses recent legislative changes to the Social Security Act as a result of the Consolidated Appropriations Act, 2021 changes to the hospital-specific limit on Medicaid disproportionate share hospital (DSH) payments. This final rule affords States and hospitals more clarity on how the limit, the changes that took effect on October 1, 2021, will be calculated. Additionally, this final rule enhances administrative efficiency by making technical changes and clarifications to the DSH program.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2024/02/23/2024-03542/medicaid-program-disproportionate-share-hospital-third-party-payer-rule)
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