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HHS/CMS RIN: 0938-AI22 Publication ID: Fall 1998 
Title: Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 1999 Rates (HCFA-1003-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 would announce the prospective payment rates for operating and capital-related costs for FY 1999 that reflect changes made by the Balanced Budget Act of 1997. We would also revise the Medicare hospital inpatient prospective payment systems for operating and capital-related costs to implement necessary changes arising from our continuing experience with the systems. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term 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
NPRM  Statutory    04/01/1998 
Final  Statutory    08/01/1998 
Timetable:
Action Date FR Cite
NPRM  05/08/1998  63 FR 25576   
Additional Information: HCFA-1003
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Federal 
Small Entities Affected: Businesses, Organizations 
Included in the Regulatory Plan: No 
Agency Contact:
Tzvi Hefter
Director, Division of Acute Care
Department of Health and Human Services
Centers for Medicare & Medicaid Services
C4-07-07, Center for Medicare Management, 7500 Security Boulevard, C4-07-07,
Baltimore, MD 21244
Phone:410 786-4487