# Medicaid Program; Disproportionate Share Hospital Payments
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2008-12-19 · Effective 2009-01-19 · 73 FR 77904
## Document
- **Document number:** E8-30000
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 73 FR 77904
- **CFR reference:** 42 CFR 447
- **Publication date:** 2008-12-19
- **Effective date:** 2009-01-19
- **HHS docket:** CMS-2198-F
## Abstract

This final rule sets forth the data elements necessary to comply with the requirements of Section 1923(j) of the Social Security Act (Act) related to auditing and reporting of disproportionate share hospital payments under State Medicaid programs. These requirements were added by Section 1001(d) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA).

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2008/12/19/E8-30000/medicaid-program-disproportionate-share-hospital-payments)
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