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Medicaid DSH Audit and Report Info DSH Redistribution State Plan Amendments (SPA)

Guidance for : a reminder regarding the opportunity to submit a SPA enabling State redistribution of DSH payments if your independent certified DSH audit and associated reporting shows that payments Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), provided a transition period to States for SPRYs 2005 through 2010.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: June 21, 2011

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.