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HHS/CMS RIN: 0938-AP17 Publication ID: Fall 2008 
Title: Changes to the Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System for CY 2009 (CMS-1404-F) 
Abstract: This rule revises the Medicare hospital outpatient prospective payment system to implement applicable statutory requirements and changes arising from continuing experience with this system and to implement certain related provisions of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003. In addition, the rule describes proposed changes to the amounts and factors used to determine the payment rates for Medicare hospital outpatient services paid under the prospective payment system. The rule also changes to the Ambulatory Surgical Center Payment System list of services and rates. These changes would be applicable to services furnished on or after January 1 annually. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 410 to 413    42 CFR 416    42 CFR 419    42 CFR 482    42 CFR 485   
Legal Authority: BBA    PPRA    BIPA    MMA    42 USC 1302 et al   
Legal Deadline:
Action Source Description Date
Final  Statutory    11/01/2008 
Timetable:
Action Date FR Cite
NPRM  07/18/2008  73 FR 41416   
NPRM Comment Period End  09/02/2008    
Final Action  11/00/2008    
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: Federal 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Related RINs: Related to 0938-AL80 
Agency Contact:
Alberta Dwivedi
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Mailstop C5-01-26, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-0763
Email: alberta.dwivedi@cms.hhs.gov