CMS Medicaid Supplemental Payment Reporting Requirements
and Medicaid Disproportionate Share Hospital Shortfall Calculations
under the Consolidated Appropriations Act, 2021


Today, the Centers for Medicare & Medicaid Services released a State Medicaid Director
Letter (SMDL) to help states understand the new requirements related to the
Consolidated Appropriations Act, 2021 (CAA), which established new requirements for
state Medicaid programs, including new reporting requirements for non-Disproportionate
Share Hospitals (DSH) supplemental payments, and a change in the methodology for
calculating the hospital-specific DSH limit. 

Learn more here: