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HHS/CMS RIN: 0938-AP80 Publication ID: Fall 2010 
Title: Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System 
Abstract: This rule updates the fiscal year (FY) 2011 hospital inpatient prospective payment systems (IPPS) and long-term care prospective payment system (LTCH PPS). This rule payments to hospitals for inpatient services that are contained in the Patient Protection and Affordable Care Act (the Affordable Care Act) as amended by the Health Care and Education Reconciliation Act of 2010 (HCERA) (collectively known as the Affordable Care Act). It would also specify statutorily required changes to the amounts and factors used to determine the rates for Medicare acute care hospital inpatient services for operating costs and capital-related costs, and for long-term care hospital costs. 
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 
EO 13771 Designation: uncollected 
CFR Citation: 42 CFR 412   
Legal Authority: Sec 1886(d) of the Social Security Act   
Legal Deadline:
Action Source Description Date
Final  Statutory    08/01/2010 
NPRM  Statutory    04/01/2010 
Action Date FR Cite
NPRM  05/04/2010  75 FR 23851   
NPRM Comment Period End  06/18/2010    
Second NPRM  06/02/2010  75 FR 30917   
Second NPRM Comment Period End  07/02/2010    
Final Action  08/16/2010  75 FR 50041   
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: Federal 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Agency Contact:
Tiffany Swygert
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Mailstop C4-25-11, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4642