LTCH PPS FY 2025 - Final Rule Data			
			
Variable Name	Description		
Provider Number	6-digit Medicare provider identification number.		
Name	Name of Medicare provider from QIES.		
MedPAR Cases	Number of Medicare beneficiary discharges from the March 2024 update of the FY 2023 MedPAR file.		
Site Neutral Payment Rate Cases	Number of Medicare beneficiary discharges from the March 2024 update of the FY 2023 MedPAR file paid under the site neutral payment rate		
Standard Payment Rate Cases	Number of Medicare beneficiary discharges from the March 2024 update of the FY 2023 MedPAR file paid under the standard payment rate 		
Short-Stay Outlier (SSO) Cases	Number of 'Standard Payment Rate Cases' from the FY 2023 MedPAR file with a covered length of stay that is less than or equal to 5/6ths of the average length of stay of the MS-LTC-DRG (as defined in 412.529) based on the Version 42 of the MS-LTC-DRG Grouper for FY 2025.		
Standard Payment Rate Cases: Case-Mix Index under V41	The average FY 2024 (Version 41) MS-LTC-DRG relative weight of the LTCH's standard Federal payment rate cases in the FY 2023 MedPAR file (with no adjustments for short-stay outliers and high cost outliers).		
Standard Payment Rate Cases: Case-Mix Index under V42	The average FY 2025 (Version 42) MS-LTC-DRG relative weight of the LTCH's standard Federal payment rate cases in the FY 2023 MedPAR file (with no adjustments for short-stay outliers and high cost outliers).		
Standard Payment Rate Cases: Outlier-Adjusted-Case-Mix Index under V41	The average FY 2024 (Version 41) MS-LTC-DRG relative weight of the LTCH's standard Federal payment rate cases in the FY 2023 MedPAR file adjusted for short-stay outliers and high cost outliers.**		
Standard Payment Rate Cases: Outlier-Adjusted-Case-Mix Index under V42	The average FY 2025 (Version 42) MS-LTC-DRG relative weight of the LTCH's standard Federal payment rate cases in the FY 2023 MedPAR file adjusted for short-stay outliers and high cost outliers.**		
All Cases: Case-Mix Index under V41	"The average FY 2024 (Version 41) MS-LTC-DRG relative weight of all the LTCH's cases (both site neutral and standard payment rate cases) in the FY 2023 MedPAR file (with no adjustments for short-stay outliers and high cost outliers). For this purpose, site neutral payment rate cases were treated as if they were paid based on 100% of the standard Federal rate. LTCH cases grouped to a psychiatric or rehabilitation MS-LTC-DRG were excluded from this calculation."		
All Cases: Case-Mix Index under V42	"The average FY 2025 (Version 42) MS-LTC-DRG relative weight of all the LTCH's cases (both site neutral and standard payment rate cases) in the FY 2023 MedPAR file (with no adjustments for short-stay outliers and high cost outliers). For this purpose, site neutral payment rate cases were treated as if they were paid based on 100% of the standard Federal rate. LTCH cases grouped to a psychiatric or rehabilitation MS-LTC-DRG were excluded from this calculation."		
All Cases: Outlier-Adjusted-Case-Mix Index under V41	"The average FY 2024 (Version 41) MS-LTC-DRG relative weight of all the LTCH's cases (both site neutral and standard payment rate cases) in the FY 2023 MedPAR  file adjusted for short-stay outliers and high cost outliers.** For this purpose, site neutral payment rate cases were treated as if they were paid based on 100% of the standard Federal rate. LTCH cases grouped to a psychiatric or rehabilitation MS-LTC-DRG were excluded from this calculation."		
All Cases: Outlier-Adjusted-Case-Mix Index under V42	"The average FY 2025 (Version 42) MS-LTC-DRG relative weight of all the LTCH's cases (both site neutral and standard payment rate cases) in the FY 2023 MedPAR  file adjusted for short-stay outliers and high cost outliers.** For this purpose, site neutral payment rate cases were treated as if they were paid based on 100% of the standard Federal rate. LTCH cases grouped to a psychiatric or rehabilitation MS-LTC-DRG were excluded from this calculation."		
LTCH Quality Reporting Program Update Indicator	"""0"" indicates the LTCH failed to submit the required quality reporting data as set forth in section 1886(m)(5) of the Act (based on the March 2024 update of the PSF).                                                                                                                                    ""1"" indicates the LTCH successfully  submitted the required quality reporting data as set forth in section 1886(m)(5) of the Act (based on the March 2024 update of the PSF).                                                "		
FY 2025 Wage Index Uncapped	"A LTCH's FY 2025 wage index value determined from pre-reclassified inpatient hospital fiscal year 2021 audited wage data without taking into account geographic reclassifications under sections 1886(d)(8) and (10) of the Act, prior to the application of the 5% cap."		
FY 2025 Wage Index Capped	A LTCH's FY 2025 wage index value after applying the 5-percent cap on wage index decreases from FY 2024 to FY 2025. 		
FY 2025 Cost Of Living Adjustment (COLA)	FY 2025 Cost of Living Adjustment factor under 412.525(b) for LTCHs located in Alaska or Hawaii. 		
Cost-To-Charge Ratio (CCR)	Ratio of costs to charges from the March 2024 update of the Provider Specific File (PSF). CCRs are not adjusted for inflation.		
IPPS Comparable Wage Index Value (from FY 2024)	"The applicable FY 2024 IPPS comparable wage index for non-reclassified hospitals as shown in Table 3 of the FY 2024 IPPS final rule (and subsequent correction notice, as applicable) based on the CBSA where the LTCH is physically located (set forth at  412.525(c)).*"		
IPPS Comparable Geographic Adjustment Factor (GAF) Value (from FY 2024)	The applicable FY 2024 IPPS comparable geographic adjustment factor for non-reclassified hospitals as shown in Table 3 of the FY 2024 IPPS final rule and subsequent correction notice based on the CBSA where the LTCH is physically located (set forth at  412.525(c)).*		
IPPS Comparable Operating Cost Of Living Adjustment (from FY 2024)	The applicable FY 2024 IPPS COLA factor for hospitals located in Alaska and Hawaii.*		
IPPS Comparable Capital Cost Of Living Adjustment (from FY 2024)	"The applicable FY 2024 IPPS capital COLA factor for hospitals located in Alaska and Hawaii, which is based on the applicable operating IPPS COLA factor .*"		
Medicaid Percent	Calculated as the ratio of Medicaid/Non-Medicare Days to Total Days obtained from the March 2024 update of the Provider Specific File (PSF).		
Supplemental Security Income (SSI) Percent	Supplemental Security Income (SSI) Percent calculated as the ratio of Medicare SSI days to Total Medicare days. SSI days are obtained from the Social Security Administration. Total Medicare days are obtained from claims data.		
DSH Percent	Disproportionate Share (DSH) Percent calculated as the sum of the Medicaid Percent and SSI Percent fields in this file.		
IR-To-ADC Ratio	"Intern & Resident (IR)-To-ADC Ratio, which cannot exceed 1.5, obtained from the March 2024 update of the Provider Specific File (PSF)."		
Beds	The number of total beds obtained from cost report data.		
IR-To-Beds Ratio	Intern & Resident (IR)-To-Beds Ratio obtained from the March 2024 update of the Provider Specific File (PSF).		
Metropolitan Statistical Area (CBSA)	Metropolitan Statistical Area (MSA) based on labor market area definition based on the current OMB Core Based Statistical Area (CBSA) delineations. The MSA assignment is based on where the LTCH is physically located based on SSA state and county code information.  Rural areas are designated by 2-digit SSA state codes.		
Geographic Location	Urban/rural designations based on the CBSA-based labor market area definitions based on the physical location of the LTCH.		
Participation Date	"The date the hospital began participating as an LTCH in the Medicare program from QIES data (""blank"" = unknown)."		
Participation Date Category	"Participation date category for impact analysis based on participation date from OSCAR:  ""A"" = Before October 1983; ""B"" = October 1983 to September 1993; ""C"" = October 1993 - September 2002; ""D"" = After October 2002; and ""U"" = Unknown."		
Ownership Control Type	"Type of ownership control from cost report data*:  ""G"" = Government; ""P"" = Proprietary;  ""V"" = Voluntary; and ""X"" = Unknown."		
Census Region	"Census region in which the LTCH is located for impact analysis from cost report data: ""1"" = New England; ""2"" = Middle Atlantic; ""3"" = East North Central; ""4"" = West North Central; ""5"" = South Atlantic; ""6"" = East South Central; ""7"" = West South Central; ""8"" = Mountain; and ""9"" = Pacific"		
Bed Size Category	"Bed size category for impact analysis based on number of beds from cost report data**:  ""1"" = 0 to 24 beds; ""2"" = 25 to 49 bed;: ""3"" = 50 to 74 beds; ""4"" = 75 to 124 beds; ""5"" = 125 to 199 beds; ""6"" = 200 or more bed;: and ""9"" = unknown."		
Fiscal Year Begin Date	The most recent fiscal year begin date as reported in the March 2024 update of the Provider Specific File (PSF).		
FOOTNOTES:	* This variable was used in the calculation of the LTCH PPS payments under the site neutral payment rate (412.522) and under the short-stay outlier payment adjustment ( 412.529(d)(4)).		
	**MS-LTC-DRG relative weights are multiplied by an adjustment factor calculated as the total estimated LTCH PPS payment amount divided by the estimated MS-LTC-DRG inlier payment amount. Cases that are projected to be paid the estimated MS-LTC-DRG inlier payment amount are adjusted by a factor equal to 1.  Cases that are high cost outliers are adjusted by a factor greater than 1.  Cases that are short-stay outliers are adjusted by a factor less than 1. The case-mix-index is then calculated as the average of these adjusted MS-LTC-DRG relative weights.		
