==============================================================
MU00.@BFN2699.INNDM182
========================================================================

NOTE TO: Shared System Coordinators, MEDICARE Coordinators

SUBJECT: Inpatient Prospective Payment System (IPPS) Pricer System
         Release, Version 20182 (CMS Change Request: CR 10547)
         ---------------------------------------------------------
         Release Date:          February 15, 2018
         Effective Date:        April 1, 2018
         Implementation Date:   April 2, 2018

This IPPS Pricer release is the PRODUCTION version for the October
2018 release. The 18.2 IPPS Pricer release revises the latest IPPS
Pricer release which was the PRODUCTION (18.1) release for FY 2018.

It includes the following changes:

  - Revised member, "README", to describe the release.

  - Revised member, "MANIFEST", which lists members included and
    omitted from the release dataset.  CMS only sends members that
    changed since the previous release.

  - PPDRV182 R  2018.2 REVISED FOR RELEASE
         ** Replaces PPDRV181 **
         --------------- 2018.2 ---------------
         Revised Call PPCAL181 Using statement to 'Call PPCAL182'.

  - PPCAL182 R  2018.2 REVISED FOR RELEASE
         ** Replaces PPCAL181 **
         --------------- 2018.2 ---------------
         MDH TRANSITIONAL PAYMENT:
         Reinstated the MDH provision (not including certain former
         MDHs) for provider types '14' and '15' through September 30,
         2018.

             + IF PPS-RTC = 00 AND
                 B-DISCHARGE-DATE > 20180930 AND
                 P-N-INVALID-PROV-TYPES
                          MOVE 52 TO PPS-RTC.

             + IF H-HSP-RATE > (H-FSP-RATE + WK-UNCOMP-CARE-AMOUNT)
                 IF P-NEW-PROVIDER-TYPE = '14' OR '15'
                   COMPUTE H-OPER-HSP-PART ROUNDED =
                     (H-HSP-RATE - (H-FSP-RATE +
                     WK-UNCOMP-CARE-AMOUNT)) * .75
                   ON SIZE ERROR MOVE 0 TO H-OPER-HSP-PART.

========================================================================

A partitioned data set (PDS) of the Version 20182 code
(MU00.@BFN2699.INNDM182) is at the CMS Data Center for users
to obtain by Connect:Direct (Network DataMover).

The 42 members listed below comprise the Pricer, but only the modules
that changed since the previous release are included in the PDS. The
changed members should be used in conjunction w/ MU00.@BFN2699.INNDM181.

CMS now only sends the program modules in the release. The supporting
files and unchanged or unused program modules are no longer included in
the release.

New and/or revised program modules and files will have (2018.2) in the
description column below.

NAME        DESCRIPTION
-------     ------------------------------------------------------------
CBSA181     2018.1 FY 2018 CBSA & WAGE INDEX TABLE
DRGSX180    2018.1 FY 2017 DRG WEIGHTS TABLE
MANIFEST    2018.2 LIST OF RELEASE MEMBERS
MIDNIGHT    2017.0 TWO MIDNIGHT POLICY ADJUSTMENT FACTOR TABLE
MSAX045     2004.5 INPAT PRICING METROPOLITAN STATISTICAL AREA
OUTMIGRA    2018.1 FY 2018 OUTMIGRATION ADJUSTMENT TABLE
         ------------------------------------------
         INPAT PRICING PROGRAM CALCULATION PROGRAMS
PPCAL006    2000.6 2000 CLAIMS 10/01 TO 09/30/2000
PPCAL017    2001.7 2001 CLAIMS 10/01 TO 09/30/2001
PPCAL026    2002.6 2002 CLAIMS 10/01 TO 09/30/2002
PPCAL038    2003.8 2003 CLAIMS 10/01 TO 09/30/2003
PPCAL04D    2004.D 2004 CLAIMS 10/01 TO 09/30/2004
PPCAL059    2005.9 2005 CLAIMS 10/01 TO 09/30/2005
PPCAL069    2006.9 2006 CLAIMS 10/01 TO 09/30/2006
PPCAL07B    2007.B 2007 CLAIMS 10/01 TO 09/30/2007
PPCAL08D    2008.D 2008 CLAIMS 10/01 TO 09/30/2008
PPCAL09D    2009.D 2009 CLAIMS 10/01 TO 09/30/2009
PPCAL10O    2010.O 2010 CLAIMS 10/01 TO 03/31/2010
PPCAL10P    2010.P 2010 CLAIMS 04/01 TO 09/30/2010
PPCAL119    2011.9 2011 CLAIMS 10/01 TO 09/30/2011
PPCAL125    2012.5 2012 CLAIMS 10/01 TO 09/30/2012
PPCAL135    2013.5 2013 CLAIMS 10/01 TO 09/30/2013
PPCAL14B    2014.B 2014 CLAIMS 10/01 TO 09/30/2014
PPCAL156    2015.6 2015 CLAIMS 10/01 TO 09/30/2015
PPCAL163    2016.3 2016 CLAIMS 10/01 TO 09/30/2016
PPCAL171    2017.1 2017 CLAIMS 10/01 TO 09/30/2017
PPCAL182    2018.2 2018 CLAIMS 10/01 TO 09/30/2018 - SEE CHANGES ABOVE
PPCAL884    1988.4 1988 CLAIMS 10/01 TO 09/30/1988
PPCAL894    1989.4 1989 CLAIMS 10/01 TO 09/30/1989
PPCAL905    1990.5 1990 CLAIMS 10/01 TO 09/30/1990
PPCAL915    1991.5 1991 CLAIMS 10/01 TO 09/30/1991
PPCAL926    1992.6 1992 CLAIMS 10/01 TO 09/30/1992
PPCAL935    1993.5 1993 CLAIMS 10/01 TO 09/30/1993
PPCAL944    1994.4 1994 CLAIMS 10/01 TO 09/30/1994
PPCAL954    1995.4 1995 CLAIMS 10/01 TO 09/30/1995
PPCAL964    1996.4 1996 CLAIMS 10/01 TO 09/30/1996
PPCAL974    1997.4 1997 CLAIMS 10/01 TO 09/30/1997
PPCAL987    1998.7 1998 CLAIMS 10/01 TO 09/30/1998
PPCAL998    1999.8 1999 CLAIMS 10/01 TO 09/30/1999
         ------------------------------------------
PPDRV182    2018.2 INPAT PRICING PROGRAM           - SEE CHANGES ABOVE
PPHOLDAR    2018.1 PPHOLDAR-HOLD-AREA
RATEX181    2018.1 FY 2018 RATES TABLE
README      2018.2 DESCRIPTION OF RELEASE UPDATES
