CMS published a notice April 23, 2010 announcing the final FY 2008 and the preliminary FY 2010 federal share disproportionate share hospital (DSH) allotments and limitations on aggregate DSH payments that states may make to institutions for mental disease and other mental health facilities. In addition, the notice includes the revised preliminary federal share DSH allotments for FY 2009 and the revised preliminary FY limitations on aggregate state DSH payments to institutions for mental disease and other mental health facilities to reflect the American Reinvestment and Recovery Act of 2009. Separately, CMS has published the final allotments available to states to pay the Medicare Part B premiums for Qualifying Individuals (QIs) for FY 2009 and the preliminary QI allotments for FY 2010.