One-Time Budget Neutrality Adjustment Data

The data in this file supports the analysis of the LTCH PPS One-Time Prospective Adjustment to the Standard Federal Rate provided for in §412.523(d)(3) as presented in the RY 2009 LTCH PPS Proposed Rule (January 29, 2008; 73 FR 5353 through 5360). (See the "downloads" section below for the file. The file includes the data and data description.)

Supplemental Security Income (SSI) Data File

The Supplemental Security Income (SSI) data file below contains the latest available LTCH-specific SSI data to be used for purposes of the payment adjustment for short-stay outlier (SSO) cases, effective for LTCH PPS discharges occurring on or after July 1, 2006 (§412.529(c)(2) and (c)(3)). (See the "downloads" section below for the file.) This ratio is used to determine an "amount comparable to the hospital inpatient prospective payment system per diem amount" that may include, where applicable, an adjustment for the costs of serving a disproportionate share of low income patients (§412.529(d)(4)). Typically, the file will be updated annually for the upcoming rate year (RY). (Please note that annual impact files for the respective RY proposed and final rules may reflect earlier SSI data used to estimate the "amount comparable to the hospital inpatient prospective payment system per diem amount" under the SSO policy for rate-setting purposes. The annual impact file developed for each proposed and final rules are created from the latest available data at the time the respective rule is published, and the SSI data in the impact file may differ from the file provided below.)

List of Long-Term Care Hospitals

This file contains a listing of LTCHs from CMS's Online Survey Certification and Reporting (OSCAR) System, including each LTCH's 6-digit provider number, name, address, and participation date. This file is updated at least twice a year (usually January and May) with the publication of the annual proposed and final rules. (See the "downloads" section below for the file.)

LTCH Labor Market Area Definitions

This file is a crosswalk by county from the former Metropolitan Statistical Area (MSA) definitions (adopted upon the implementation of the LTCH PPS) to the revised MSAs (under the Core Based Statistical Area (CBSA) definitions adopted under the LTCH PPS effective July 1, 2005). (See the "downloads" section below for the file. This file includes a record description.)

Short-Stay Outlier Payment Example

This file contains two examples that illustrate the computation of the adjusted payment for short-stay outlier (SSO) cases effective for LTCH PPS discharges occurring on or after July 1, 2006 (established in the RY 2007 final rule) versus the SSO payment adjustment effective for discharges occurring on or after July 1,2007 and on or before December 28, 2007  (originally established in the RY 2008 final rule, as amended consistent with section 114(c)(3) of Public Law 110-173) under §412.529(c). (See the "downloads" section below for the file.)

Downloads
One-Time Budget Neutrality Adjustment Data [ZIP, 14KB] 3M Reevaluation of LTCH PPS Payment Adjustments [PDF, 133KB] FY 2007 LTCH SSI Data File [Zipped, 36KB] List of LTCHs (as of July 2008) [Zip, 42KB] Labor Market Area MSA/CBSA Xwalk File [Zip, 307KB] Short-Stay Outlier Payment Examples: RY 2007 & RY 2008 [Excel Zipped, 11KB]
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Page Last Modified: 06/24/2009 8:15:21 AM
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