View Rule

Printer-Friendly Version Download RIN Data in XML

HHS/CMS

RIN: 0938-AH34

Publication ID: Fall 1995

Title: ●Changes to the Hospital Inpatient Prospective Payment System and Fiscal Year 1997 Rates (BPD-847-P)
Abstract: Medicare pays for hospital inpatient services under a prospective payment system (PPS) in which payment is made at a predetermined specific rate for the operating and capital-related costs associated with each discharge. These rules will announce the prospective payment rates for operating and capital-related costs for FY 1997. We will also revise the Medicare hospital inpatient prospective payment systems for operating costs and capital-related costs to implement necessary changes arising from our continuing experience with the system. In addition, we will set forth rate-of-increase limits as well as policy changes for hospitals and hospital units excluded from the prospective payment systems. These changes are applicable to discharges occurring on or after October 1, 1996.
Agency: Department of Health and Human Services(HHS)	Priority: Other Significant
RIN Status: First time published in the Unified Agenda	Agenda Stage of Rulemaking: Proposed Rule Stage
CFR Citation: 42 CFR 412 42 CFR 413
Legal Authority: 42 USC 1395ww

Legal Deadline:

Action	Source	Description	Date
Final	Statutory		09/01/1996
NPRM	Statutory		05/01/1996

Statement of Need: Section 1886(e)(5) of the Social Security Act requires the Secretary to publish a proposed notice of prospective payment system policies and payment rates in the Federal Register by May 1 and a final rule by September 1.

Summary of the Legal Basis: As noted above, publication of proposed and final rules concerning hospital PPS policies and payment rates is required by law. The statute sets forth several specific requirements concerning what must be included in the PPS proposed and final rules. (See sections 1886(b)(3)(B), 1886(d)(1)(A), 1886(d)(2)(H), 1886(d)(3)(A), 1886(d)(3)(E), 1886(d)(4)(C), 1886(e)(4), 1886(e)(5), and 1886(g)(1)(A) of the Act.)

Alternatives: Publication of these rules is not discretionary. Thus, no alternatives exist.

Anticipated Costs and Benefits: We are unable to estimate at this time the costs and benefits associated with these rules.

Risks: Not applicable.

Timetable:

Action	Date	FR Cite
NPRM	05/00/1996

Regulatory Flexibility Analysis Required: Yes	Government Levels Affected: Federal, State
Small Entities Affected: Businesses, Organizations
Included in the Regulatory Plan: Yes
Agency Contact: Charles Booth Director, Office of Hospital Policy, Bureau of Policy Development Department of Health and Human Services Centers for Medicare & Medicaid Services C5-02-23, 7500 Security Boulevard, Baltimore, MD 21244-1850 Phone:410 786-4487