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HHS/CMS RIN: 0938-AU44 Publication ID: Fall 2021 
Title: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals; the Long-Term Care Hospital Prospective Payment System; and FY 2022 Rates (CMS-1752)(Section 610 Review) 
Abstract:

This rule finalizes the three remaining policies proposed for the Medicare hospital inpatient and long-term care hospital prospective payment systems for operating and capital-related costs.  These policies include implementation of sections 126, 127, and 131 of the Consolidated Appropriations Act of 2020; changes in treatment of Medicaid Section 1115 waiver days for purposes of Medicare Disproportionate Share Hospital payments; and organ acquisition payment policies.

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: Yes  Unfunded Mandates: No 
RFA Section 610 Review: Section 610 Review 
CFR Citation: 42 CFR 412    42 CFR 413   
Legal Authority: 42 U.S.C. 1302    42 U.S.C. 1395hh   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA sec. 902 requires Medicare final rules publish within 3 years of a proposed or interim final rule.  05/10/2024 
NPRM  Statutory  By statute, proposed rule must publish by April 1 annually.  04/01/2021 
Final  Statutory  By statute, rule must be effective by October 1 annually.  10/01/2021 

Overall Description of Deadline: Per the CMS notice published December 30, 2004 (69 FR 78442), except for certain Medicare payment regulations and certain other statutorily-mandated regulations, we schedule all Medicare final regulations for publication within the 3-year standardized time limit in the current Unified Agenda. We do not intend to delay publishing a Medicare final regulation for 3 years if we are able to publish it sooner.

Timetable:
Action Date FR Cite
NPRM  05/10/2021  86 FR 25070   
NPRM Comment Period End  06/28/2021 
Final Action  08/13/2021  86 FR 44774   
Final Action Effective  10/01/2021 
Final Action Correction  10/20/2021  86 FR 58019   
2nd Final Action  05/00/2024 
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:
Donald Thompson
Director, Division of Acute Care
Department of Health and Human Services
Centers for Medicare & Medicaid Services
C4-10-26, Center for Medicare, MS: C4-01-26, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-6504
Email: donald.thompson@cms.hhs.gov