[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR447.299]



[Page 326]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 447_PAYMENTS FOR SERVICES--Table of Contents

 

        Subpart E_Payment Adjustments for Hospitals That Serve a 

             Disproportionate Number of Low-Income Patients

 

Sec.  447.299  Reporting requirements.



    (a) Beginning with the first quarter of Federal fiscal year 1993, 

each State must submit to CMS the quarterly aggregate amount of its 

disproportionate share hospital payments made to each individual public 

and private provider or facility. States' reports must present a 

complete, accurate, and full disclosure of all of their DSH programs and 

expenditures.

    (b) Each State must report the aggregate information specified under 

paragraph (a) of this section on a quarterly basis in accordance with 

procedures established by CMS.

    (c) Each State must maintain, in readily reviewable form, supporting 

documentation that provides a detailed description of each DSH program, 

the legal basis of each DSH program, and the amount of DSH payments made 

to each individual public and private provider or facility each quarter. 

This information must be made available to Federal reviewers upon 

request.

    (d) If a State fails to comply with the reporting requirements 

contained in this section, future grant awards will be reduced by the 

amount of FFP CMS estimates is attributable to the expenditures made to 

the disproportionate share hospitals as to which the State has not 

reported properly, until such time as the State complies with the 

reporting requirements. Deferrals and/or disallowances of equivalent 

amounts may also be imposed with respect to quarters for which the State 

has failed to report properly. Unless otherwise prohibited by law, FFP 

for those expenditures will be released when the State complies with all 

reporting requirements.



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