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

ICR 202404-0938-003

Forms and Documents

Document Name	Status
Form CMS-R-266 Medicaid Disproportionate Share Hospital (DSH) Annual Report Form	Modified
CMS-R-266 - Supporting Statement A (CMS-2445-F version 3).docx Supporting Statement A	2024-04-03

IC Document Collections

IC ID	Document Title	Status
8445	Medicaid Disproportionate Share Hospital (DSH) Annual Report Form	Modified

ICR Details