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Form CMS-R-266 Data Element Report Template
Medicaid Disproportionate Share Hospital Annual Reporting (CMS-R-266)
CMS-R-266_spreadsheet_DSHauditrevision_CMS-2445-F version 3.xlsx
Medicaid Disproportionate Share Hospital (DSH) Annual Report
OMB: 0938-0746
OMB.report
HHS/CMS
OMB 0938-0746
ICR 202404-0938-003
IC 8445
Form CMS-R-266 Data Element Report Template
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