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HHS/CMS

RIN: 0938-AH34

Publication ID: Fall 1996

Title: Changes to the Hospital Inpatient Prospective Payment System and Fiscal Year 1997 Rates (BPD-847-F)
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 announce the prospective payment rates for operating and capital-related costs for FY 1997. We 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 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: Economically Significant
RIN Status: Previously published in the Unified Agenda	Agenda Stage of Rulemaking: Completed Actions
Major: Yes	Unfunded Mandates: No
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

Timetable:

Action	Date	FR Cite
NPRM	05/31/1996	61 FR 27444
Final Action	08/30/1996	61 FR 46166
Final Action Effective	10/01/1996	61 FR 51217

Additional Information: BPD-847
Regulatory Flexibility Analysis Required: Yes	Government Levels Affected: Federal, State
Small Entities Affected: Businesses, Organizations
Included in the Regulatory Plan: No
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