Crosswalk

CMS-R-266 - Crosswalk.doc

Medicaid Disproportionate Share Hospital Annual Reporting (CMS-R-266)

Crosswalk

OMB: 0938-0746

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Crosswalk for Changes to Medicaid Disproportionate Share Hospital (DSH) Annual Reporting Requirements CMS-R-266 (OMB 0938-0746)



Section # on Type of Change Rational for Change
Current CMS-R-266
(OMB 0938-0746)


B.12. BURDEN ESTIMATE Change: “52” States Correction

changed to “51”



CMS-R-266 SPREADSHEET Add: Column P “Medicaid To collect Medicaid Provider Number

Provider Number”

CMS-R-266 SPREADSHEET Add: Column Q “Medicare To collect Medicare Provider Number

Provider Number”



File Typeapplication/msword
AuthorCMS
Last Modified ByRory Howe
File Modified2013-06-10
File Created2013-06-10

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