Summary of Alternative Considered Factors and Rates for the LTCH PPS - FY 2022	
MS-LTC-DRG relative weight normalization factor	1.2803
Budget neutrality adjustment factor for the changes related to the MS-LTC-DRG classification and relative weights	1.007194
Budget neutrality adjustment factor for the changes related to the area wage level adjustment 	1.0022884
	
Standard Federal Rate: Full Update (2.2 Percent)	"$44,820.29 "
Standard Federal Rate: Reduced Update (0.2 Percent)*	"$43,943.18 "
"* For LTCHs that fail to submit quality reporting data for FY 2022 in accordance with the LTCH Quality Reporting Program (LTCH QRP), the annual update is reduced by 2.0 percentage points as required by section 1886(m)(5) of the Act."	
	
One-year Charge Inflation Factor 	1.095176
Two-year Charge Inflation Factor	1.199410
	
December 2019 national average case?weighted CCR	0.251463
December 2020 national average case?weighted CCR	0.241090
One-year national operating CCR adjustment factor 	0.958751
	
Fixed-loss amount for LTCH PPS standard Federal payment rate cases 	"$51,056 "
