MAC Implementation File 9 	
Tab Name	Tab Description
2026 Capped LTCH PPS WI	"For FY 2026, a 5 percent cap will be applied to any decrease in an LTCHs wage index from its FY 2025 wage index. A list of LTCHs whose FY 2026 LTCH PPS wage index decreased by more than 5 -percent along with their capped FY 2026 LTCH PPS wage index value can be found in the tab titled ""2026 Capped LTCH PPS WI"".

For these LTCHs, MACs will enter into the PSF a 1 in the Special Payment Indicator field (data element 33) and the LTCHs capped FY 2026 LTCH PPS wage index value in the Special Wage Index field (data element 38). 

We note that hospitals newly classified as an LTCH during FY 2026 are not eligible for the 5 percent cap. If a MAC believes that an LTCH is either incorrectly included or excluded from the list of LTCHs that receive the 5 percent cap for the FY 2026 LTCH PPS wage index, please contact LTCHPPS@cms.hhs.gov for further instructions."
2026 Capped Comparable IPPS WI	"For FY 2026, a 5 percent cap will also be applied to any decrease in an LTCHs applicable IPPS comparable wage index from its FY 2025 applicable IPPS comparable wage index. A list of LTCHs whose FY 2026 applicable IPPS comparable wage index decreased by more than 5-percent along with their capped FY 2026 applicable IPPS comparable wage index value can be found in the tab titled ""2026 Capped Comparable IPPS WI"". 

For these LTCHs, MACs will enter into the PSF a 2 in the Supplemental Wage Index Flag field (data element 64) and the LTCHs capped FY 2026 applicable IPPS comparable wage index value in the Supplemental Wage Index field (data element 63).

We note that hospitals newly classified as an LTCH during FY 2026 are not eligible for the 5 percent cap. If a MAC believes that an LTCH is either incorrectly included or excluded from the list of LTCHs that receive the 5 percent cap for the FY 2026 applicable IPPS comparable wage index, please contact LTCHPPS@cms.hhs.gov for further instructions."
