Medicare Geographic Classification Review Board

The Medicare Geographic Classification Review Board ("MGCRB" or "Board") makes determinations on geographic reclassification requests of hospitals who are receiving payment under the inpatient prospective payment system ("IPPS") but wish to reclassify to a higher wage area for purposes of receiving a higher payment rate.  See 42 U.S.C. § 1395ww(d)(10) and 42 C.F.R. § 412.230.


Electronic Filing Required

The MGCRB requires applications, supporting documents, and subsequent correspondence to be filed electronically through the Office of Hearings Case and Document Management System (“OH CDMS”).  Reference /Regulations-and-Guidance/Review-Boards/MGCRB/Electronic-Filing for registration instructions and the system user manual.  For any system or access questions, please contact the OH CDMS Help Desk at 1-833-783-8255 or


MCGRB Application Period

A request for withdrawal or termination of an approved reclassification must be received by the MGCRB within 45 days of publication of CMS’ annual notice of proposed rulemaking (“NPRM”) concerning changes to the Inpatient Prospective Payment System and proposed payment rates for the fiscal year for which the application has been filed. The current MGCRB withdrawal and termination period for approved reclassifications is open from May 10, 2022 through June 24, 2022.  Board Rules are located at /Regulations-and-Guidance/Review-Boards/MGCRB/Board-Rules.


Page Last Modified:
06/22/2022 12:07 PM