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HHS/CMS | RIN: 0938-AP33 | Publication ID: Fall 2008 |
Title: Changes to Long Term Care Prospective Payment System Based on Specific Provisions in the Medicare, Medicaid, and SCHIP Extension Act of 2007 (CMS-1493-F) | |
Abstract: This rule implements provisions of the Medicare, Medicaid, and SCHIP Extension Act of 2007 relating to long-term care hospitals. In addition to amending section 1861 of the Act with a new definition of LTCHs, this rule includes provisions that are effective on the date of enactment (December 29, 2007). Specifically, the statute imposes a 3-year delay in implementation of certain payment policies that set percentage thresholds for LTCH patients admitted from certain referring hospitals and raises the percentage threshold for those LTCHs unaffected by the 3-year delay. The legislation imposes the same 3-year delay on the implementation of a particular payment adjustment for short-stay patients and also for the possible application of a one-time adjustment to the standard Federal rate. The statute also required a change in the Federal rate for RY 2008, (effective April 1, 2008). Additionally, the statute created a 3-year moratorium on the establishment of new LTCHs and LTCH satellites and on bed expansion in existing LTCHs, subject to significant exceptions. | |
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: No | Unfunded Mandates: No |
CFR Citation: 42 CFR 412.500 42 CFR 412.523 42 CFR 412.529 42 CFR 412.534 42 CFR 412.536 | |
Legal Authority: Provisions of sec 114 of PL 110-173 (MMSE Act of 2007) sec 1886 (d) of the Social Security Act as amended by sec 114 of PL 110-173 (MMSE Act of 2007) |
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Regulatory Flexibility Analysis Required: Yes | Government Levels Affected: State |
Small Entities Affected: Businesses | Federalism: No |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: Yes | |
Related RINs: Related to 0938-AO94 | |
Agency Contact: Tzvi Hefter Director, Division of Acute Care and Ambulatory Policy Group Department of Health and Human Services Centers for Medicare & Medicaid Services Mailstop C4-08-06, 7500 Security Boulevard, Baltimore, MD 21244 Phone:410 786-4487 Email: tzvi.hefter@cms.hhs.gov |