This amendment directs the Department of Medical Assistance Services to utilize Indirect Medical Education (IME) payments in lieu of Disproportionate Share Hospital (DSH) payments for Children's National Medical Center through Medicaid as the hospital is at their federal cap preventing the hospital from being able to accept DSH funding from the Commonwealth. The hospital recently met the state threshold to receive IME payments from the Commonwealth and this language directs the continuation of such payments in lieu of any future DSH payments.