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2016-04-21
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Medicare Program; Temporary Exception for Certain Severe Wound Discharges From Certain Long-Term Care Hospitals Required by the Consolidated Appropriations Act, 2016; Modification of Limitations on Redesignation by the Medicare Geographic Classification Review Board
Rules and Regulations
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United States
Department of Health and Human Services
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United States Government Agency or Subagency
United States
Centers for Medicare & Medicaid Services
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org
United States Government Agency or Subagency
This interim final rule with comment period (IFC) implements section 231 of the Consolidated Appropriations Act of 2016 (CAA), which provides for a temporary exception for certain wound care discharges from the application of the site neutral payment rate under the Long- Term Care Hospital (LTCH) Prospective Payment System (PPS) for certain long-term care hospitals. This IFC also amends our current regulations to allow hospitals nationwide to reclassify based on their acquired rural status, effective with reclassifications beginning with fiscal year (FY) 2018. Hospitals with an existing Medicare Geographic Classification Review Board (MGCRB) reclassification would also have the opportunity to seek rural reclassification for IPPS payment and other purposes and keep their existing MGCRB reclassification. We would also apply the policy in this IFC when deciding timely appeals before the Administrator under our regulations for FY 2017 that were denied by the MGCRB due to existing regulations, which do not permit simultaneous rural reclassification for IPPS payment and other purposes and MGCRB reclassification. These regulatory changes implement the decisions in Geisinger Community Medical Center v. Secretary, United States Department of Health and Human Services, 794 F.3d 383 (3d Cir. 2015) and Lawrence + Memorial Hospital v. Burwell, No. 15-164, 2016 WL 423702 (2d Cir. Feb. 4, 2015) in a nationally consistent manner.
81 FR 23428
https://www.govinfo.gov/app/details/FR-2016-04-21/2016-09219
2016-09219
fr21ap16-5
RIN 0938-AS88
4120-01-P
CMS-1664-IFC
https://www.govinfo.gov/app/details/FR-2016-04-21/2016-09219
https://www.govinfo.gov/content/pkg/FR-2016-04-21/html/2016-09219.htm
https://www.govinfo.gov/content/pkg/FR-2016-04-21/pdf/2016-09219.pdf
Administrative Practice and Procedure
Health Facilities
Medicare
Puerto Rico
Reporting and Recordkeeping Requirements
11 p.
23428
23438
81 FR 23428
Code of Federal Regulations
Title 42 Part 412
42 CFR Part 412
Regulation Identification Number 0938-AS88
RIN 0938-AS88
Medicare Program; Temporary Exception for Certain Severe Wound Discharges From Certain Long-Term Care Hospitals Required by the Consolidated Appropriations Act, 2016; Modification of Limitations on Redesignation by the Medicare Geographic Classification Review Board; Federal Register Vol. 81, Issue
RULE
2016-09219
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
2016-04-21
2016-06-17
CMS-1664-IFC
4120-01-P
2016-09219
Interim final rule with comment period.
This interim final rule with comment period (IFC) implements section 231 of the Consolidated Appropriations Act of 2016 (CAA), which provides for a temporary exception for certain wound care discharges from the application of the site neutral payment rate under the Long- Term Care Hospital (LTCH) Prospective Payment System (PPS) for certain long-term care hospitals. This IFC also amends our current regulations to allow hospitals nationwide to reclassify based on their acquired rural status, effective with reclassifications beginning with fiscal year (FY) 2018. Hospitals with an existing Medicare Geographic Classification Review Board (MGCRB) reclassification would also have the opportunity to seek rural reclassification for IPPS payment and other purposes and keep their existing MGCRB reclassification. We would also apply the policy in this IFC when deciding timely appeals before the Administrator under our regulations for FY 2017 that were denied by the MGCRB due to existing regulations, which do not permit simultaneous rural reclassification for IPPS payment and other purposes and MGCRB reclassification. These regulatory changes implement the decisions in Geisinger Community Medical Center v. Secretary, United States Department of Health and Human Services, 794 F.3d 383 (3d Cir. 2015) and Lawrence + Memorial Hospital v. Burwell, No. 15-164, 2016 WL 423702 (2d Cir. Feb. 4, 2015) in a nationally consistent manner.
Effective date: These regulations are effective on April 21, 2016.
Emily Lipkin, (410) 786-3633 for the Temporary Exception to Site-Neutral Payments for Certain Long-Term Care Hospital Discharges.
Administrative Practice and Procedure
Health Facilities
Medicare
Puerto Rico
Reporting and Recordkeeping Requirements
Medicare Program:
Temporary Exception for Certain Severe Wound Discharges from Certain Long Term Care Hospitals Required by the Consolidated Appropriations Act; Modification of Limitations on Redesignation by the Medicare Geographic Classification Review Board
,
Paperwork@cms.hhs.gov
http://regulations.gov
http://www.bls.gov/webapps/legacy/cpswktab4.htm
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/index.html
http://www.cms.hhs.gov/PaperworkReductionActof1995
http://www.regulations.gov
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/LongTermCareHospitalPPS/index.html
https://www.sba.gov/sites/default/files/files/Size_Standards_Table.pdf
Federal Register
Vol. 81, no. 77
Office of the Federal Register, National Archives and Records Administration
2016-04-21
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152 p.
Table of Contents:
AE 2.7:
GS 4.107:
AE 2.106:
KF70.A2
https://www.govinfo.gov/app/details/FR-2016-04-21
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0042-1219
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https://www.govinfo.gov/app/details/FR-2016-04-21
https://www.govinfo.gov/content/pkg/FR-2016-04-21/pdf/FR-2016-04-21.pdf
https://www.govinfo.gov/content/pkg/FR-2016-04-21/xml/FR-2016-04-21.xml
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2016-04-21
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FR-2016-04-21
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