"FY 2022 LTCH PPS Proposed Rule
 Alternative Considered Public Use File (PUF)"	
"FY 2022 Alternative Considered Information
 Factors and Adjustment"	Description
MS-LTC-DRG relative weight normalization factor	"We are making available LTCH PPS adjustment factors and the LTCH PPS standard Federal rate based on our ordinary data sources (including the December 2020 update of the FY 2020 MedPAR file, December 2020 update of the Provider Specific File, and FY 2019 cost report data from HCRIS)."
Budget neutrality adjustment factor for the changes related to the MS-LTC-DRG classification and relative weights	
Budget neutrality adjustment factor for the changes related to the area wage level adjustment 	
	
Standard Federal Rate: Full Update (2.2 Percent)	
Standard Federal Rate: Reduced Update (0.2 Percent)*	
"* 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 	"We are making available the charge inflation factors based on our ordinary data sources. Specifically, we calculated the charge inflation factors using the FY 2020 MedPAR file (December 2020) compared to FY 2019 MedPAR file (December 2019). We applied the two-year charge inflation factor to the FY 2020 MedPAR charges when determining the alternative considered fixed-loss amount for LTCH PPS standard Federal payment rate cases for FY 2022."
Two-year Charge Inflation Factor	
	
December 2019 national average case?weighted CCR	"We are making available the CCR adjustment factor (used in determining the fixed-loss amount) based on our ordinary data sources. Specifically, we calculated the CCR adjustment factor by comparing the national average case weighted CCR from the December 2020 update of the PSF to the national average case weighted CCR from the December 2019 update of the PSF. We applied the CCR adjustment factor to the CCRs from the December 2020 update of the PSF when determining the alternative considered fixed-loss amount for LTCH PPS standard Federal payment rate cases for FY 2022."
December 2020 national average case?weighted CCR	
One-year national CCR adjustment factor 	
	
Fixed-loss amount for LTCH PPS standard Federal payment rate cases 	"We are making available the fixed-loss amount for LTCH PPS standard Federal payment rate cases based on our ordinary data sources (including the December 2020 update of the FY 2020 MedPAR file, December 2020 update of the Provider Specific File, and FY 2019 cost report data from HCRIS)."
