Instructions for Reading the Section 5506 Final Awards Spreadsheet - Round 24:
This spreadsheet contains the results of the FTE resident cap slot redistribution under the twenty-fourth round of section 5506 of the ACA, Preservation of Resident Cap Positions from Closed Hospitalsdue to the closure of Wahiawa General Hospital in Wahiawa, HI on April 2, 2024.
There are three tabs in this spreadsheet.  The second tab of this spreadsheet, labeled 'Wahiawa General Awards', lists the hospitals that were awarded FTE resident cap slots from the closure of Wahiawa General Hospital.  The third tab of this spreadsheet, labeled 'Remaining Applicants', lists the hospitals that were not awarded FTE resident cap slots under round 24.
On the 'Wahiawa General Awards' tab of this spreadsheet, you will find the following information:
* Column A contains the Hospital Name
* Column B contains the CMS Certification Number (CCN). 
* Column C contains the total DGME slots awarded to the hospital. There are both section 422 of the MMA and non-section 422 slots associated with the DGME awards.
* Column D contains the portion of the DGME slots awarded to the hospital that are not section 422 slots - they are associated with the non-section 422 portion of Wahiawa General's DGME resident cap.
* Column E contains the portion of the DGME slots awarded to the hospital that are associated with the increase that Wahiawa General received under section 422 of the MMA, and are to be paid using the appropriate locality-adjusted national average Per Resident Amount (see 42 CFR 413.77(g) and 78 FR Notice May 31, 2013, p. 32663). 
* Column F contains the DGME slots effective April 2, 2024.
* Column G contains the DGME slots effective as needed.
* Column H contains the total IME slots awarded to the hospital. There are both section 422 of the MMA and non-section 422 slots associated with the IME awards.
* Column I contains the portion of the IME slots awarded to the hospital that are not section 422 slots - they are associated with the non-section 422 portion of Wahiawa General's IME resident cap.
* Column J contains the portion of the IME slots awarded to the hospital that are associated with the increase that Wahiawa General received under section 422 of the MMA, and are to be paid using the appropriate IME multiplier of 0.66 (see 42 CFR 412.105(d)(4) and 78 FR Notice May 31, 2013, p. 32663).
* Column K contains the IME slots effective April 2, 2024.
* Column L contains the IME slots effective as needed.
* Column M contains the hospital's Medicare Administrative Contractor (MAC).
Once you find the provider number you are looking for, please read across the entire row to find all of the effective dates for the hospitals total section 5506 DGME and IME slots awarded, respectively. Please refer to the August 31, 2012 Federal Register (77 FR 53437-53445) and the August 22, 2014 Federal Register (79 FR 50129-50134) for more information on effective dates under section 5506.  Please also note whether the award amount in a particular column is or is not associated with section 422 of the MMA cap slots.  The DGME and IME section 422 award slots are to be separately reported on your Medicare cost report and paid using the DGME locality-adjusted national average Per Resident Amount and the appropriate IME multiplier.  

