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Title
CMS-1588-P and CMS-1588-CN
Type of File
Proposed Rule and Correction Notice

1. CMS-1588-P

Date of Publication: May 11, 2012

Title: Proposed Changes to the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and FY 2013 Rates and to the Long Term Care Hospital PPS and FY 2013 Rates.

Description: We are proposing to revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems and to implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act) and other legislation.  These changes would be applicable to discharges occurring on or after October 1, 2012.  We also are proposing to update the rate‑of‑increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits.  The updated rate-of-increase limits would be effective for cost reporting periods beginning on or after October 1, 2012.

We are proposing to update the payment policy and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) and implementing certain statutory changes made by the Affordable Care Act.  These proposed changes would be applicable to discharges occurring on or after October 1, 2012.

In addition, we are proposing changes relating to determining a hospital’s full‑time equivalent (FTE) resident cap for the purpose of graduate medical education (GME) and indirect medical education (IME) payments.  We are proposing new requirements or revised requirements for quality reporting by specific providers (acute care hospitals, PPS-exempt cancer hospitals, LTCHs, and inpatient psychiatric facilities (IPFs)) that are participating in Medicare.  We also are proposing new administrative, data completeness, and extraordinary circumstance waivers or extension requests requirements, as well as a reconsideration process, for quality reporting by ambulatory surgical centers (ASCs) that are participating in Medicare.

We are proposing requirements for the Hospital Value-Based Purchasing (VBP)

Program and the Hospital Readmissions Reduction Program.

2. CMS-1588-CN

Date of Publication: June 11, 2012

Title: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2013 Rates; Hospitals' Resident Caps for Graduate Medical Education Payment Purposes; Quality Reporting Requirements for Specific Providers and for Ambulatory Surgical Centers; Corrections

Description: This document corrects technical and typographical errors in the proposed rule that appeared in the May 11, 2012 Federal Register entitled "Medicare Program; Hospital Inpatient Prospective Payment systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2013 Rates; Hospitals' Resident Caps for Graduate Medical Education Payment Purposes; Quality Reporting Requirements for Specific Providers and for Ambulatory Surgical Centers."