"Alternative Considered FY 2023 Supplemental Data File 
The below Standardized Amounts were calculated with the Alternative Considered IPPS BN Factors.  
We note that additional information for the LTCH PPS Federal Payment Rate is available in separate Alternative Considered Supplemental Files."							
Alternative Considered: FY 2023 NPRM NATIONAL ADJUSTED OPERATING STANDARDIZED AMOUNTS; LABOR/NONLABOR (67.6 PERCENT LABOR SHARE/32.4 PERCENT NONLABOR SHARE IF WAGE INDEX GREATER THAN 1)							
Hospital Submitted Quality Data and is a Meaningful EHR User (Update = 2.7 Percent)		Hospital Submitted Quality Data and is NOT a Meaningful EHR User (Update = 0.375 Percent)		Hospital Did NOT Submit Quality Data and is a Meaningful EHR User (Update = 1.925 Percent)		Hospital Did NOT Submit Quality Data and is NOT a Meaningful EHR User (Update = -0.4 Percent)	
Labor-related	Nonlabor-related	Labor-related	Nonlabor-related	Labor-related	Nonlabor-related	Labor-related	Nonlabor-related
"$4,271.33"	"$2,047.20"	"$4,174.63"	"$2,000.85"	"$4,239.10 "	"$2,031.75 "	"$4,142.40"	"$1,985.41"
							
"Alternative Considered:   FY 2023 NPRM NATIONAL ADJUSTED OPERATING STANDARDIZED AMOUNTS, LABOR/NONLABOR (62 PERCENT LABOR SHARE/38 PERCENT NONLABOR SHARE IF WAGE INDEX LESS THAN OR EQUAL TO 1)"							
Hospital Submitted Quality Data and is a Meaningful EHR User (Update = 2.7 Percent)		Hospital Submitted Quality Data and is NOT a Meaningful EHR User (Update = 0.375 Percent)		Hospital Did NOT Submit Quality Data and is a Meaningful EHR User (Update = 1.925 Percent)		Hospital Did NOT Submit Quality Data and is NOT a Meaningful EHR User (Update = -0.4 Percent)	
Labor-related	Nonlabor-related	Labor-related	Nonlabor-related	Labor-related	Nonlabor-related	Labor-related	Nonlabor-related
"$3,917.49 "	"$2,401.04 "	"$3,828.80 "	"$2,346.68 "	"$3,887.93 "	"$2,382.92 "	"$3,799.24 "	"$2,328.57 "
							
"Alternative Considered:   FY 2022 NPRM ADJUSTED OPERATING STANDARDIZED AMOUNTS FOR HOSPITALS IN PUERTO RICO, LABOR/NONLABOR (NATIONAL:  62 PERCENT LABOR SHARE/38 PERCENT NONLABOR SHARE BECAUSE WAGE INDEX IS LESS THAN OR EQUAL TO 1)"							
	Rates if Wage Index Greater Than 1		Hospital is a Meaningful EHR User and Wage Index Less Than or Equal to 1 (Update = 2.7)		Hospital is NOT a Meaningful EHR User and Wage Index Less Than or Equal to 1 (Update = 1.0115)		
	Labor	Nonlabor	Labor	Nonlabor	Labor	Nonlabor	
National1	Not Applicable	Not Applicable	"$3,915.78 "	"$2,399.99 "	"$3,858.36 "	"$2,364.80 "	
"1For FY 2023, there are no CBSAs in Puerto Rico with a national wage index greater than 1."							
							
							
"Alternative Considered: 
 CAPITAL STANDARD FEDERAL PAYMENT RATE"							
	Rate						
National	$480.67						
							
"Alternative Considered: 
 FY 2022 NPRM LTCH PPS STANDARD FEDERAL PAYMENT RATE"							
				Full Update (2.7 Percent)	Reduced Update* (0.7 Percent)		
Standard Federal Rate*				"$45,952.62 "	"$45,057.73 "		
"* For LTCHs that fail to submit quality reporting data for FY 2023 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."							
