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Title
CMS-1599-F and other associated rules and notices
Type of File
Rules and Notices

CMS-1599-F, CMS-1599-CN2, CMS-1599-IFC, CMS-1599-CN3, CMS-1599-CN4, CMS-1599-IFC2 and CMS-1599-N

1. CMS-1599-F

Date of Publication: August 19, 2013

Title: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long‑Term Care Hospital Prospective Payment System and Fiscal Year 2014 Rates; Quality Reporting Requirements for Specific Providers; Hospital Conditions of Participation; Payment Policies Related to Patient Status

Description: We are revising 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.  Some of the changes 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 will be applicable to discharges occurring on or after October 1, 2013, unless otherwise specified in this final rule.  We also are updating 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 will be effective for cost reporting periods beginning on or after October 1, 2013.

We also are updating the payment policies 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 that were applied to the LTCH PPS by the Affordable Care Act.  Generally, these updates and statutory changes will be applicable to discharges occurring on or after October 1, 2013, unless otherwise specified in this final rule.

In addition, we are making a number of changes relating to direct graduate medical education (GME) and indirect medical education (IME) payments.  We are establishing 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 are updating policies relating to the Hospital Value-Based Purchasing (VBP) Program and the Hospital Readmissions Reduction Program.  In addition, we are revising the conditions of participation (CoPs) for hospitals relating to the administration of vaccines by nursing staff as well as the CoPs for critical access hospitals relating to the provision of acute care inpatient services.

We are finalizing proposals issued in two separate proposed rules that included payment policies related to patient status:  payment of Medicare Part B inpatient services; and admission and medical review criteria for payment of hospital inpatient services under Medicare Part A.

2.  CMS-1599-CN2

Date of Publication: October 3, 2013

Title: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Fiscal Year 2014 Rates; Quality Reporting Requirements for Specific Providers; Hospital Conditions of Participation; Payment Policies Related to Patient Status; Corrections

Description: This document corrects technical and typographical errors in the final rules that appeared in the August 19, 2013 Federal Register titled "Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Fiscal Year 2014 Rates; Quality Reporting Requirements for Specific Providers; Hospital Conditions of Participation; Payment Policies Related to Patient Status."

3.  CMS-1599-IFC

Date of Publication: October 3, 2013

Title: Medicare Program; Medicare Program; FY 2014 Inpatient Prospective Payment System: Changes to Certain Cost Reporting Procedures Related to Disproportionate Share Hospital Uncompensated Care Payments

Description:  In this interim final rule with comment period, we revise certain policies for Medicare disproportionate share hospital  (DSH) payments and the uncompensated care payments under subsection(r) of the Act, established under Section 3133 of the Affordable Care Act. In the FY 2014 IPPS/LTCH PPS Final Rule, we had established the methodology for determining the amount of  uncompensated care payments made to hospitals eligible for the DSH payment adjustment in FY 2014 and a process for making interim and final payments.   This interim final rule with comment period revises certain operational considerations for hospitals with Medicare cost reporting periods that span more than one Federal fiscal year and also makes changes to the data that will be used in the uncompensated care payment calculation in order to ensure that data from Indian Health Service (IHS) hospitals are included in Factor 1 and Factor 3 of that calculation.

4.  CMS-1599-CN3

Date of Publication: January 2, 2014

Title: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2014 Rates; Quality Reporting Requirements for Specific Providers; Hospital Conditions of Participation; Payment Policies Related to Patient Status; Corrections

Description: This document corrects technical errors in the final rules that appeared in the August 19, 2013 Federal Register titled "Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2014 Rates; Quality Reporting Requirements for Specific Providers; Hospital Conditions of Participation; Payment Policies Related to Patient Status."

5.  CMS-1599-CN4

Date of Publication: January 10, 2014

Title: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2014 Rates; Quality Reporting Requirements for Specific Providers; Hospital Conditions of Participation; Payment Policies Related to Patient Status; Corrections

Description: This document corrects technical errors in the final rules that appeared in the August 19, 2013 Federal Register titled "Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2014 Rates; Quality Reporting Requirements for Specific Providers; Hospital Conditions of Participation; Payment Policies Related to Patient Status."  To correct typographical and technical errors in the FY 2014 IPPS/LTCH PPS final rule, we published correcting documents that appeared in the October 3, 2013 Federal Register (78 FR 61197); and the January 2, 2014 Federal Register (79 FR 61).  We left out the applicability date from the “DATES” section of the January 2, 2014 correcting document.  Therefore, in this correcting document, we add the applicability date.

6.  CMS-1599-IFC2

Date of Publication: March 18, 2014

Title: Medicare Program; Extension of the Payment Adjustment for Low-Volume Hospitals and the Medicare-dependent Hospital (MDH) Program Under the Hospital Inpatient Prospective Payment Systems (IPPS) for Acute Care Hospitals for Fiscal Year 2014

Description: This interim final rule with comment period implements changes to the payment adjustment for low-volume hospitals and to the Medicare-dependent hospital (MDH) program under the hospital inpatient prospective payment systems (IPPS) for FY 2014 (through March 31, 2014) in accordance with sections 1105 and 1106, respectively, of the Pathway for SGR Reform Act of 2013.

7. CMS-1599-N

Date of Publication: June 17, 2014

Title: Medicare Program; Additional Extension of the Payment Adjustment for Low-Volume Hospitals and the Medicare-dependent Hospital (MDH) Program Under the Hospital Inpatient Prospective Payment Systems (IPPS) for Acute Care Hospitals for Fiscal Year 2014

Description: This document announces changes to the payment adjustment for low volume hospitals and to the Medicare-dependent hospital (MDH) program under the hospital inpatient prospective payment systems (IPPS) for the second half of FY 2014 (April 1, 2014 through September 30, 2014) in accordance with sections 105 and 106, respectively, of the Protecting Access to Medicare Act of 2014 (PAMA).