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Form CMS-R-266 Data Element Report
Medicaid Disproportionate Share Hospital (DSH) Annual Reporting Requirements (CMS-R-266)
Data Element Report (CMS-R-266, CMS-2445-P version 1)
Data Element Report
OMB: 0938-0746
OMB.report
HHS/CMS
OMB 0938-0746
ICR 202302-0938-014
IC 8445
Form CMS-R-266 Data Element Report
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0746 can be found here:
2024-04-03 - Revision of a currently approved collection
2023-09-19 - Extension without change of a currently approved collection
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