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HHS/CMS RIN: 0938-AM80 Publication ID: Fall 2003 
Title: ●Changes to the Hospital Inpatient Prospective Payment System and FY 2005 Rates (CMS-1428-P) 
Abstract: We would revise the Medicare acute hospital inpatient prospective payment system for operating and capital-related costs to implement changes arising from our continuing experience with these systems. In addition, in the Addendum, we describe changes to the amounts and factors used to determine the rates for Medicare hospital inpatient services for operating costs and capital-related costs. These changes apply to discharges on or after October 1, 2004. We also set forth proposed rate-of-increase limits as well as proposed policy changes for hospitals and hospital units excluded from the prospective payments systems. (The statute requires that this proposed and subsequent final rule be published by August 1, 2004.) 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Undetermined  Unfunded Mandates: No 
CFR Citation: 42 CFR 412    42 CFR 413    42 CFR 485    42 CFR 489   
Legal Authority: Sec 1886(d) of the Social Security Act   
Legal Deadline:
Action Source Description Date
Final  Statutory    08/01/2004 
NPRM  Statutory    04/01/2004 
Timetable:
Action Date FR Cite
NPRM  07/00/2004    
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: Federal 
Small Entities Affected: Businesses  Federalism: No 
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