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Title
FY 2020 MAC Implementation Files
Type of File
Implementation Files

This page contains the following files as described in the Fiscal Year (FY) 2020 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes Change Request (CR) 11361.

  1. MAC Implementation File 1 - Certain FY 2020 IPPS factors, including applicable percentage increase, budget neutrality factors, High Cost Outlier (HCO) threshold, and Cost-of-Living adjustment (COLA) factors. (Note, this reflects the correction notice issued on October 7, 2019.) 
  2. MAC Implementation File 2 - Certain FY 2020 LTCH PPS factors, including High Cost Outlier (HCO) threshold, and Cost-of-Living adjustment (COLA) factors. (Note, this reflects the correction notice issued on October 7, 2019.) 
  3. MAC Implementation File 3 - A list of hospitals that will receive the statutory reduction to the annual payment update for FY 2020 under the Hospital Inpatient Quality Reporting (IQR) Program.
  4. MAC Implementation File 4 - LUGAR county list 
  5. MAC Implementation File 5 - Instructions to Fill Out the PSF for the Wage Index and Reclassification. (Note: On page 6 and 7 of this file, MACs will find new instructions for hospitals that are not listed on FY 2020 Table 2 and new hospitals. The instructions include a deadline of when MAC must email CMS a list of hospitals not listed on FY 2020 Table 2. See the file for complete details.)