CMS finalized a decrease in Medicare UC DSH payments by -$950 million, to $6.0 billion in FFY 2024. In FFY 2024, providers will receive a UC DSH payment representing 17.5% of UC Costs, whereby in FFY 2023 providers received 20.2% of UC Costs. CMS is also now using a three-year average of UC cost to determine each DSH hospital’s portion of the fund.