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HHS/CMS

RIN: 0938-AN57

Publication ID: Spring 2005

Title: Changes to the Hospital Inpatient Prospective Payment System and FY 2006 Rates (CMS-1500-P)
Abstract: This rule proposes to revise the Medicare hospital inpatient prospective payment system (IPPS) for operating and capital-related costs to implement changes arising from our continuing experience with these systems. In addition, in the Addendum to this proposed rule, we describe the proposed changes to the amounts and factors used to determine the rates for Medicare hospital inpatient services for operating costs and capital-related costs. These proposed changes would be applicable to discharges occurring on or after October 1, 2005. We also are setting forth proposed rate-of-increase limits as well as proposed policy changes for hospitals and hospital units excluded from the IPPS that are paid in full or in part on a reasonable cost basis subject to these limits.
Agency: Department of Health and Human Services(HHS)	Priority: Economically Significant
RIN Status: Previously published in the Unified Agenda	Agenda Stage of Rulemaking: Proposed Rule Stage
Major: Yes	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
NPRM	Statutory		04/01/2005
Final	Statutory		08/01/2005

Timetable:

Action	Date	FR Cite
NPRM	05/00/2005

Regulatory Flexibility Analysis Required: Yes	Government Levels Affected: Federal
Small Entities Affected: Businesses	Federalism: No
Included in the Regulatory Plan: No
Agency Contact: Marc Hartstein Acting Deputy Division Director, Division of Acute Care, Hospital and Ambulatory Policy Group Department of Health and Human Services Centers for Medicare & Medicaid Services Center for Medicare Management, Mailstop C4-25-11, 7500 Security Boulevard, Baltimore, MD 21224 Phone:410 786-6192 Email: marc.hartstein@cms.hhs.gov