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

ICR 202302-0938-014

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0746 can be found here:

Forms and Documents

Document Name	Status
Form CMS-R-266 Data Element Report Form	Modified
CMS-R-266 - Supporting Statement A (CMS-2445-P version 7).docx Supporting Statement A	2023-03-02

IC Document Collections

IC ID	Document Title	Status
8445	Data Element Report Form	Modified

ICR Details