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Medicaid Disproportionate Share Hospital (DSH) Annual Report
Medicaid Disproportionate Share Hospital Annual Reporting (CMS-R-266)
OMB: 0938-0746
IC ID: 8445
OMB.report
HHS/CMS
OMB 0938-0746
ICR 202309-0938-010
IC 8445
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0746 can be found here:
2024-04-03 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form CMS-R-266
Medicaid Disproportionate Share Hospital (DSH) Annual Report
Form
CMS-R-266 Disproportionate Share Hospital (DSH) Annual Report
CMS-R-266 - Spreadsheet (rev 11-21-2016)SG1-30 (rev PRA Statement).xls
Form
Information Collection (IC) Details
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