--- title: SSI Realignment description: This opportunity allows disproportionate share hospitals (DSH) to evaluate and request an SSI realignment going back to the inception of the DSH regulations. --- [Skip to content](https://public.govdataservices.com/ssi-realignment#main-content) Close - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) SEARCH [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) [![GDSlogo_avenir_2](https://public.govdataservices.com/hs-fs/hubfs/GDSlogo_avenir_2.png?width=1194&height=340&name=GDSlogo_avenir_2.png)](https://public.govdataservices.com/?hsLang=en) - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) # SSI Realignment [Information Safeguards](https://govdataservices-21378692.hs-sites.com/information-safeguards?hsLang=en) ![soc](https://public.govdataservices.com/hs-fs/hubfs/aicpa-soc.png?height=50&name=aicpa-soc.png) ![SSL badge](https://public.govdataservices.com/hs-fs/hubfs/ssl-badge.png?height=50&name=ssl-badge.png) The Centers for Medicare & Medicaid Services (CMS) recently instructed Medicare Administrative Contractors (MACs) to allow hospitals to request a Supplemental Security Income (SSI) percentage realignment for any cost report period, at any time, regardless of whether the cost report is beyond its 3-year cost report reopening window. Prior to this announcement, CMS only authorized SSI realignments if the request was made no later than 3 years from the hospital’s Notice of Program Reimbursement (NPR). This opportunity allows disproportionate share hospitals (DSH) to evaluate and request an SSI realignment going back to the inception of the DSH regulations. - CMS has granted Government Data Services (GDS) access to the patient-level SSI data to determine which periods would benefit from a realignment with certainty. - No other data is required from the hospital to perform the analysis. - If we identify an opportunity for any Cost Report year prior to 1996, we will request Medicare Cost Report worksheet E, Part A from you for such year(s) in order to estimate the financial impact. Please contact us at (800) 370-7397 x101 to get your free, **no obligation demo** or to simply learn more about how we can save you money while maximizing your DSH recoveries. | #### **Our Services** | | --- | | [Medicare DSH](https://public.govdataservices.com/medicare-dsh?hsLang=en) | | [SSI Realignment](https://public.govdataservices.com/ssi-realignment?hsLang=en) | | [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt?hsLang=en) | | [S-10](https://public.govdataservices.com/s-10?hsLang=en) | | [Transfer DRG](https://public.govdataservices.com/transfer-drg?hsLang=en) | | [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing?hsLang=en) | | [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder?hsLang=en) | | [MIDAS Insurance ID](https://public.govdataservices.com/midas-insurance-id?hsLang=en) | | [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit?hsLang=en) | | [Eligibility & Other](https://public.govdataservices.com/eligibility-and-other?hsLang=en) | | [Bundle & Save](https://public.govdataservices.com/bundle-and-save?hsLang=en) |   **Comprehensive Diagnostic Review** ![Offer CTA-1](https://public.govdataservices.com/hs-fs/hubfs/Offer%20CTA-1.png?width=284&name=Offer%20CTA-1.png)   #### Please contact us at (800) 370-7397 x101 to get your free, no obligation demo or to simply learn more about how we can save you money while maximizing your DSH recoveries. Contact us [![gds-logo-1](https://public.govdataservices.com/hs-fs/hubfs/gds-logo-1.png?width=500&height=150&name=gds-logo-1.png)](https://public.govdataservices.com/?hsLang=en) **Get in Touch** Government Data Services 3200 W. Market St., Ste. 102 Akron, OH 44333-3324 Government Data Services 117 Seaboard Lane, F270 Franklin, TN 37067 Toll Free: (800) 370-7397 Email: [info@govdataservices.com](mailto:info@govdataservices.com)   © 2026 - Government Data Services LLC. All rights reserved - [Site Use Agreement](https://public.govdataservices.com/terms-of-use) - [Confidentiality and Privacy](https://public.govdataservices.com/privacy) ```json { "@context" : "http://schema.org", "@type" : "Organization", "knowsLanguage" : "en", "name" : "", "url" : "https://public.govdataservices.com/ssi-realignment" } ```