Summary

GAO reviewed the Department of Health and Human Services, Centers for Medicare and Medicaid Services' (CMS) new rule on fiscal year disproportionate share hospital allotments and disproportionate share hospital institutions for mental disease limits. GAO found that (1) the notice announces the final federal share disproportionate share hospital allotments for federal fiscal year 2007 and the preliminary federal share disproportionate share hospital allotments for federal fiscal year 2009, announces the final federal fiscal year 2007 and preliminary federal fiscal year 2009 limitations on aggregate disproportionate share hospital payments that states may make to institutions for mental disease and other mental health facilities, and explains the methodology for determining the amounts of states' federal fiscal year disproportionate share hospital allotments; and (2) CMS complied with the applicable requirements in promulgating the rule.