





1              FILE # 2 LTCH PPS PRICER INSTALLATION GUIDE DOCUMENT

                  --------------------------------------


          The  FY 2013, RY 2013  Long-Term  Care  Hospital  Prospective

          Payment  pricing subroutines  (PRICER 2013)  are furnished by

          The  Centers  for  Medicare & Medicaid Services (CMS).    The

          responsibility   for   installing,   modifying,  testing  and

          verifying  the accuracy  of  this routine is that of the user.



          please  report any problems  or direct any  questions you may

          have to  Sarah Shirey of  the Division of  Institution Claims

          (410)  786-0187.    You  can  also receive  clarification  of

          technical   matters if needed.   IN ORDER TO  ASSURE THAT THE

          PROBLEMS  YOU  MAY  EXPERIENCE  ARE  NOT  A  RESULT  OF  YOUR

          INTERFACE PROGRAM(S),  TEST   PRICER USING  THE CMS  SUPPLIED

          TEST PROGRAM (LTMGR130).



  This subroutine has been tested by CMS.
















                                       A
1          FILE # 2 LTCH PPS PRICER INSTALLATION GUIDE DOCUMENT




 =========================================================================

                 FILES FOR LONG-TERM CARE HOSPITAL PRICER

 =========================================================================

                   FILE #01 = LTCH PRICER 2013
                   FILE #02 = MANU130  WORD DOCUMENT
                   FILE #03 = LTMGR130 LISTING
                   FILE #04 = LTOPN130 LISTING
                   FILE #05 = LTDRV130 LISTING
                   FILE #06 = LTCAL032 Listing
                   FILE #07 = LTCAL042 Listing
                   FILE #08 = LTCAL043 Listing
                   FILE #09 = LTCAL058 Listing
                   FILE #10 = LTCAL059 Listing
                   FILE #11 = LTCAL063 Listing
                   FILE #12 = LTCAL064 Listing
                   FILE #13 = LTCAL072 Listing
                   FILE #14 = LTCAL075 Listing
                   FILE #15 = LTCAL080 Listing
                   FILE #16 = LTCAL087 Listing
                   FILE #17 = LTCAL091 Listing
                   FILE #18 = LTCAL094 Listing
                   FILE #19 = LTCAL095 Listing
                   FILE #20 = LTCAL103 Listing
                   FILE #21 = LTCAL105 Listing
                   FILE #22 = LTCAL111 LISTING
                   FILE #23 = LTCAL123 LISTING
                   FILE #24 = LTCAL130 LISTING
                   FILE #25 = LTDRG031 FILE
                   FILE #26 = LTDRG041 FILE
                   FILE #27 = LTDRG067 FILE
                   FILE #28 = LTDRG062 FILE
                   FILE #29 = LTDRG075 FILE
                   FILE #30 = LTDRG080 FILE
                   FILE #31 = LTDRG086 FILE
                   FILE #32 = LTDRG093 FILE
                   FILE #33 = LTDRG095 FILE
                   FILE #34 = LTDRG100 FILE
                   FILE #35 = LTDRG110 FILE
                   FILE #36 = LTDRG123 FILE
                   FILE #37 = LTDRG130 FILE
                   FILE #38 = IPDRG080 FILE
                   FILE #39 = IPDRG090 FILE
                   FILE #40 = IPDRG104 FILE
                   FILE #41 = IPDRG130 FILE
                   FILE #42 = LTMSA130 FILE
                   FILE #43 = LTWIX130 FILE
                   FILE #44 = IPWIX130 FILE
                   FILE #45 = IRFBN090 FILE
                   FILE #46 = IRFBN102 FILE
                   FILE #47 = IRFBN105 FILE
                   FILE #48 = TPROV130 TEST FILE
                   FILE #49 = TBILL130 TEST FILE
                   FILE #50 = OPER130  TEST RESULTS
                   FILE #50 = PROVR123 REG123
                   FILE #51 = PROVR4   REG4
                   FILE #52 = PROVR6   REG6
                   FILE #53 = PROVR57  REG57
                   FILE #54 = PRVR8910 REG8910














                                    B							

1              FILE # 2 LTCH PPS PRICER INSTALLATION GUIDE DOCUMENT



                                TABLE OF CONTENTS

                                     VOLUME I

 Section     . . . . . . . . . . . . . . . . . . . . . . . . . . . .  Page

 I.  Introduction

     I-1.   General . . . . . . . . . . . . . . . . . . . . . .   . .I-1,2

     I-2.   Summary of PRICER 2013 changes . . . . . . . . . . . .     I-3

II. Installing the FY 2013 LTCH Prospective Payment PRICER

     II-1.  General  . . . . . . . . . . . . . . . . . . . . . . . .  II-1

     II-2.  Copying the LTCAL Files to Disk  . . . . . . . . . . . .  II-1

     II-3.  COMPILING AND LINKAGE OF LTMGR130, LTOPN130, LTDRV130 AND
            the yearly LTCALculation module . .. . . . . . . . .      II-2

     II-4.  PRICER Assurance Testing . . . . . . . . . . . . . . . .  II-2

     II-5.  PRICER Installation Requirements . . . . . . . . . . .  II-3,4

 III.Using the FY 2013 LTCH Prospective Payment PRICER LTCAL123 Module
             (LTCAL123)

     III-1. General  . . . . . . . . . . . . . . . . . . . . . . . . III-1
     III-2. Using LTCAL123 . . . . . . . . . . . . . . . . . . . . . III-1

 IV. Using the FY 2013, RY 2013 LTCH Prospective Payment PRICER
     Subroutine (LTDRV130)

     IV-1.  General . . . . . . . . . . . . . . . . . . . . . . . . . IV-1

     IV-2.  Using LTDRV130. . . . . . . . . . . . . . . . . . . . . . IV-1

 V.  PRICER ASSURANCE TESTING USING LTMGR130

     V-1.   General  . . . . . . . . . . . . . . . . . . . . . . . . . V-1

     V-2.   Using LTMGR130 . . . . . . . . . . . . . . . . . . . . . . V-1

     V-3.   Testing User Supplied Data Using LTMGR130  . . . . . . . . V-2







                                        C
1              FILE # 2 LTCH PPS PRICER INSTALLATION GUIDE DOCUMENT
                              LIST OF ILLUSTRATIONS
 Figure  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page

 1.1   Flowchart of LTCH PRICER System . . . . . . . . . . . . . . . .  I-3

 1.2   SYSOUR counts from LTMGR  . . . . . . . . . . . . . . . . . . .  I-3

 2.1   Layout of PRICER INSTALLATION TAPE/CARTRIDGE or NETWORK DATA
       MOVER (NDM) FILE  . . . . . . . . . . . . . . . . . . . . . . II-3,4

 2.2.  Sample  JCL - Tape To Disk Load of PRICER Installation
       Tape/Cartridge  . . . . . . . . . . . . . . . . . . . . . . . . II-5

 2.3   CICS / VS/COBOL JCL - Compile LTCALs, LTMGR, LTOPN, & LTDRV . . II-6

 2.4   VS/COBOL JCL -Linkedit LTMGR130, LTOPN130, LTDRV130, CALculation
       Modules.      . . . . . . . . . . . . . . . . . . . . . . . . . II-7

 3.1   Sample JCL - Download of the (NDM) File PRICER Installation
       file          . . . . . . . . . . . . . . . . . . . . . . . . .III-2

 3.2   CICS / VS-COBOL II JCL - Compile LTCALs, LTOPN130, LTDRV130 . .III-3

 3.3   VS-COBOL II JCL - Linkedit LTMGR130.  . . . . . . . . . . . . .III-3

 4.1   LTCAL Call List Arguments . . . . . . . . . . . . . . . . . . . IV-2

 4.2   Layout - Argument 1: Bill Data Sent to LTCAL  . . . . . . . . . IV-3

 4.3   Layout - Argument 2: Data Returned by LTCAL . . . . . . . . . IV-4,5

 4.4   Layout - Argument 3: CBSA Returned by LTCAL . . . . . . . . .   IV-6

 4.5   Layout - Argument 4: PRICER opt-vers switch . . . . . . . . . . IV-7

 4.6   Layout - Argument 5: Interface Supplied Provider Specific
       Record. . . . . . . . . . . . . . . . . . . . . . . . . IV-8,9,10,11

 4.7A  Layout - Argument 6: Interface Supplied MSAX . . . . . . . . . IV-12

 4.7B  Layout - Argument 6: Interface Supplied CBSA . . . . . . . . . IV-13

 4.8   Layout - Argument 7: Interface Supplied IPPS CBSA  . . . . . . IV-14

 5.1   VS/COBOL II -- SAMPLE JCL FOR EXECUTE LTDRV130  . . . . . . . .  V-3

 5.2   EXPECTED TEST RESULTS                       . . . . . . . . . .  V-3

 5.3   VS/COBOL II -- SAMPLE JCL FOR EXECUTE LTMGR130  . . . . . . . .  V-4

 5.4   TEST BILL DATA RECORD FORMAT  . . . . . . . . . . . . . . . . .  V-5

 5.5 PAYMENT CENSUS DIVISION COMPOSITION . . . . . . . . . . . . . . .  V-6

 5.6   REGIONAL CONSORTIA COMPOSITION . . . . . . . . . . . . . . . . . V-7
                                    D
1              FILE # 2 LTCH PPS PRICER INSTALLATION GUIDE DOCUMENT


 I.  INTRODUCTION




   I-1.  GENERAL
   PRICER refers to a group of programs  which will calculate the payment amount
   for a Long-Term Care Hospital  PPS bill based on the data elements  passed to
   it. It will return the payment amount and other data used in pricing or error
   indications   if   pricing  could not  be  properly  executed.   PRICER  will
   price  the most   current  fiscal five  (5) year period,  i.e., 2003  through
   2007.   There are  three levels of processing within PRICER, Flowchart Figure
   1.1.

   1.   LTMGR130-This is  a test driver  module and  it should  be used for  the
   installation and testing  phases of PRICER.  It calls the most current 5 year
   period based on the discharge date, in exactly the same manner it does now.

   2.   LTOPN130 -  For testing and for users not converting to CICS.  This
   the  program opens the provider, MSA, CBSA, and IPPS CBSA files.

   3.   LTDRV130 -  Assembles the  necessary  pricing variables,  and screens
   the  bill date  CALLing the appropriate  CALculation Module for each bill.

   4.   LTCAL032, LTCAL042, LTCAL043, LTCAL058, LTCAL059, LTCAL063,
        LTCAL064, LTCAL072, LTCAL075, LTCAL080, LTCAL087, LTCAL091,
        LTCAL094, LTCAL095, lTCAL103, LTCAL105, LTCAL111, LTCAL123.
   These are  the  semi-yearly modules where all of the edits and calculations
   are performed.  Five  Fiscal  Years  of  CAL  Modules  are retained in each
   release.  Every Fiscal Year  after the fifth year of operation(FY 2007) the
   earliest CALC  module will  be  dropped  and the  new CAL module will be
   added, maintaining a five year pricing period.

   5.   Files #36 through  File  #40 are  Provider  Specific  Regional files
   grouped  by  Regional  Consortium ---  The  Northeast  Consortium  includes
   regions one, two, and three.  The Southern Consortium includes regions four
   and six.  The  Midwest Consortium  includes  regions five  and  seven.  The
   Western Consortium includes regions eight, nine, and ten.   See Figure  5.6
   for the states in each Regional Consortium.   These files are only for  VA,
   HMO, and FEHB's.  Intermediaries do not need these files.  The VA, HMO, and
   FEHB's must add the necessary JCL to  unload and ---  use only the Regional
   Consortium  file  that  pertains  to  them,  unload shown in FIGURE 2.2 and
   FIGURE 3.1.  Note: The Sourthern Consortium is now split.  Regions four and
   six are now separate.
                                      *










                                    I-1
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT

   The purpose  of this manual is  to provide Intermediary technical  staff with
   the information necessary  to understand, install, test,  debug, support and,
   if  necessary,  modify  the Fiscal Year  (FY) 2013  Long-Term  Care  Hospital
   LTCH PRICER  driver routine (LTDRV130).

   The   Intermidiary   is   required   to   use   the    CALculation    Modules
   (LTCAL032,  LTCAL042,   LTCAL043, LTCAL058, LTCAL059, LTCAL063,LTCAL064,
    LTCAL072,  LTCAL075,   LTCAL080, LTCAL087, LTCAL091, LTCAL094,
    LTCAL095,  LTCAL103, LTCAL105, LTCAL111, & LTCAL123)
   for    pricing        Long-Term       Care      Hospital  (LTCH)    Prospect-
   ive  Payment  System (PPS) bills.  The  design  of  the  CALculation  Modules
   allows    the    Intermediary   flexibility    in    the   manner  in   which
   it may be installed. The  CAL Modules are intended to execute as a subroutine
   (CALLed)  of  the PRICER  Driver  Program  (LTDRV130)  or  of an Intermediary
   written  inter-face program.   The  CALC modules  can execute  as stand-alone
   routines, if  they are  passed the necessary data.

   Included with this documentation  is a PRICER INSTALLATION TAPE  or NDM FILE.
   With the exception  of the Provider Specific  File (which must be  created by
   the Intermediary), the  TAPE/CARTRIDGE or  NDM file contains  all files  that
   should be needed to execute PRICER. A test driver (LTMGR130- program,  a test
   provider file and a TEST BILL file are also included on the TAPE/CARTRIDGE
   file.   These are useful  to assure  that the PRICER is executing properly.





   In preparing this manual, the following assumptions were made:

   1.   The reader is familiar with  IBM 370 Principals of Operation  as well as
   VS/COBOL II, VS/COBOL and OS JCL.
   2.  The datasets  required by PRICER  will be copied  to disk and  catalogued
   according to your data center conventions.
   3.  The  volume serial numbers  on the sample JCL  will be replaced  with the
   volume  serial  number  of  the  transfer  TAPE/CARTRIDGE  received  by  your
   installation.  This  number  will   be  indicated  on  the  outside   of  the
   TAPE/CARTRIDGE you receive.
   4.  The GROUPER Versions 23.0, 24.0, 25.0, 26.0, 27.0 have been installed at
   the Intermediary data processing  site prior to installing and testing PRICER
   2013.














                                    I-2
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT



   I-2.  SUMMARY FOR LTCH PRICER for discharges on or after October 1, 2002.
       1.  Pricer 2013 will process only the latest 5 years of bills starting
           with RY2007 thru RY2013.
           A.) Bills discharges on or after July 1, 2005.
                               FOR RY2006 THRU RY2013 ** Use PRICER 10.0
           **  Add grouper V27.0., New Regulations for 2010.
           **  Add new CBSA file, and IPPS CBSA file.
           **  Add new rates, federal payment rate, wage index, DRG weights.

=============================================================================
                     --------                  ------
                    ! LTMGR  !-->       !<----! PSF  !
                     --------   !       !      ------
                                !       !      ------
                             -------    !<----! CBSA !
                            ! LTOPN !<--!      ------
                             -------    !      ------
                                !       !<----!IPCBSA!
                             -------    !      ------
                            ! LTDRV !   !      ------
                             -------    !<----! MSAX !
                                !              ------
        --------------------------------------------------------------
       !      !     !       !      !      !      !      !      !      !
   ---------  !  ---------  !  ---------  !  ---------  !  ---------  !
  !LTCAL072 ! ! !LTCAL075 ! ! !LTCAL080 ! ! !LTCAL087 ! ! !LTCAL091 ! !
   ---------  !  ---------  !  ---------  !  ---------  !  ---------  !
              !             !             !             !             !
          ---------     ---------     ---------     ---------     ---------
         !LTCAL094 !   !LTCAL095 !   !LTCAL103 !   !LTCAL105 !   !LTCAL123 !
          ---------     ---------     ---------     ---------     ---------



       Figure 1.1: Flowchart of Long-Term Care Hospital Pricer System.

 ==========================================================================

 PROGRAM LTMGR     VERSION ==> XXX.X (LTMGR program being used)
 PROGRAM LTOPN     VERSION ==> XXX.X (LTOPN program being used)
 PROGRAM LTDRV     VERSION ==> XXX.X (LTDRV program being used)
 PROGRAM LTCAL     VERSION ==> XXX.X (Each FY that was processed)

 NUMBER OF PROVIDERS    ====> 00157 (Number of provider records input)
 NUMBER OF MSA RECORDS  ====> 01119 (Number of MSA records input)
 NUMBER OF CBSA RECORDS ====> 02180 (Number of CBSA records input)
 NUMBER OF IP CBSA RECORDS ====> 02775 (Number of IPCBSA records input)

                  Figure 1.2:  SYSOUR COUNTS FROM LTMGR PROGRAM.



                                    I-3

1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT






 II.  INSTALLING THE FY 2013, RY 2013 PROSPECTIVE PAYMENT SUBROUTINES (PRICER)
   II-1.  GENERAL
       A.  Installing the PRICER Version 2013.0 consists of the following steps:
           1.  All Intermediaries -- copy only files 1 through 24 to disk.
           2.  All HMO's, VA and FEHB's  -- Copy all files to disk.
           3.  Compile and link  LTMGR130(optional) , LTOPN130, LTDRV130 and
               the yearly calculation modules:
               LTCAL032, LTCAL042, LTCAL043, LTCAL058, LTCAL059, LTCAL063  ,
               LTCAL064, LTCAL072, LTCAL075, LTCAL080, LTCAL087, LTCAL091  ,
               LTCAL094, LTCAL095, LTCAL103, LTCAL105, LTCAL111 & LTCAL123.
           4.  Perform  assurance  testing.   LTMGR130 may  be used  to  test
               the PRICER (see Section V).
           5.  Install PRICER 2013 in production.
               LTMGR, LTOPN, LTDRV and all LTCAL modules  are written in
               VS-COBOL II  and  were  developed and  tested on  an  IBM 3091.

 ** NOTE:      Requires some  program modifications. Installing this software on
               equipment that is  not IBM compatible  will also require  program
               modifications.

   II-2.  COPYING THE PRICER FILES TO DISK
       A.  Pricer installation tape/cartridge process.
           1.  The  files contained  on the  PRICER Installation  Tape/Cartridge
               were  created with the  IBM IEBGENER utility.   The  files may be
               copied  to  disk using  any utility  capable  of copying  a fixed
               length record data set.
           2.  The PRICER Installation  Tape/Cartridge contains the installation
               manual,  the  program source  code  and data  files  necessary to
               install PRICER.  The  tape/Cartridge is IBM Standard Label,  1600
               BPI  and  contains   twenty-four  files.  The  files   and  their
               respective  location,  block  size,  logical  record  length  and
               description are shown in Figure 2.1.  Figure 2.2 shows sample JCL
               for loading the files to disk.
       B.  Pricer installation NDM file process.
           1.  The  files contained  on the  PRICER Installation  NDM file  were
               created with  the IBM IEBGENER utility.   The files may be copied
               to  disk  using any  utility capable  of  copying a  fixed length
               record data set.
           2.  The PRICER NDM file contains the installation manual, the program
               source code and data files necessary to  install PRICER.  The NDM
               file is a  disk file  transmitted via the  NDM system  containing
               twenty-four files. The files and their block size, logical record
               length and description are shown in  Figure 2.1. Figure 3.1 shows
               sample  JCL for    downloading  the NDM  files to disk  files for
               processing.


 ** NOTE:      (FIGURE 3.1  MUST BE RUN IN ORDER TO USE THESE FILES!!!)


                                    II-1
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT



   II-3.  COMPILING AND LINKAGE OF LTMGR, LTOPN, LTDRV and LTCALs



       A. All programs were developed  to use  VS/COBOL II.
       B.  The LTCALculation Modules are intended to be CALLed by a user written
           interface  program  or  to  be  CALLed   by  LTDRV130.  They  may  be
           dynamically loaded  or the user  may INCLUDE the  LTCALculations when
           linking to the user interface module.
       C.  LTMGR  "CALLs"  the latest LTOPN version which calls the latest LTDRV
    which calls LTCALculation Module. Link LTMGR, LTOPN, LTDRV versions &
    the appropriate years LTCAL modules.
       D.  Sample JCL for compiling and linking  LTMGR,LTOPN, LTDRV and LTCAL
           modules is shown in Figures  3.2 and 3.3 for compile VS-COBOL II

           Figures 3.2 and 3.3 for linkedit VS-COBOL II.

   II-4.  PRICER ASSURANCE TESTING
       A.  It  is  the  user's  responsibility  to  assure that  the  PRICER  is
           executing properly at the user site.   The quickest way to test
           LTOPN, LTDRV, & LTCAL is to execute LTMGR using the Test Bill
           File  (see Sect. IV).






























                                     II-2
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT



   II-5.   PRICER INSTALLATION REQUIREMENTS

   PRICER 2013 must be installed prior to paying Long-Term Care Hospital PPS
   bills with  a discharge date of October 1, 2006 to present.
  --------------------------------------------------------------------------
 !        !          !        !        !                                   !
 ! FILE # ! FILE NAME!  LRECL ! BLKSIZE!  DESCRIPTION                      !
 !========!==========! =======!========! ==================================!
 !        ! FOREIGN. !        !        !                                   !
 !   1    ! &MEDIA.  !   80   ! 27920  !  LTCH PROSPECTIVE PAYMENT SYSTEM  !
 !        ! PSF&DATE.!        !        !  FROM CMS FOR FY 2013, RY 2013    !
 !        ! LTC104   !        !        !  after october 1, 2011              !
 !--------!----------!--------!--------!-----------------------------------!
 !   2    ! MANU123  !   80   ! 27920  !  LTCH PRICER MANUAL FOR FY 2013   !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !                                   !
 !   3    ! LTMGR130 !   80   ! 27920  !  Test program source              !
 !        !          !        !        !  code (VS/COBOL II)               !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !                                   !
 !   4    ! LTOPN130 !   80   ! 27920  !  LTCH PPS Open program source     !
 !        !          !        !        !  code (VS/COBOL II)               !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !                                   !
 !   5    ! LTDRV130 !   80   ! 27920  !  LTCH PPS Driver program source   !
 !        !          !        !        !  code (CICS / VS/COBOL II)        !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !                                   !
 !   6    ! LTCAL072 !   80   ! 27920  !  CALculation program source       !
 !        !          !        !        !  code for FY 2006 (Jul - Sept)    !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !                                   !
 !   7    ! LTCAL075 !   80   ! 27920  !  CALculation program source       !
 !        !          !        !        !  code for FY 2007 (Oct - Jun)     !
  --------!----------!--------!--------!------------------------------------
  (continues on next page)








                                    II-3
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT
  --------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !                                   !
 !   8    ! LTCAL080 !   80   ! 27920  !  CALculation program source       !
 !        !          !        !        !  code for FY 2007 (Jul - Sept)    !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !                                   !
 !   9    ! LTCAL087 !   80   ! 27920  !  CALculation program source       !
 !        !          !        !        !  code for FY 2008 (Oct - Jun)     !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !                                   !
 !   10   ! LTCAL091 !   80   ! 27920  !  CALculation program source       !
 !        !          !        !        !  code for FY 2008 (Jul - Sept)    !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !                                   !
 !   11   ! LTCAL094 !   80   ! 27920  !  CALculation program source       !
 !        !          !        !        !  code for FY 2009 (Oct - Jun)     !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !                                   !
 !   12   ! LTCAL095 !   80   ! 27920  !  CALculation program source       !
 !        !          !        !        !  code for FY 2009 (Jun - Sept)    !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !                                   !
 !   13   ! LTCAL103 !   80   ! 27920  !  CALculation program source       !
 !        !          !        !        !  code for FY 2010 (Oct - Mar)     !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !                                   !
 !   14   ! LTCAL105 !   80   ! 27920  !  CALculation program source       !
 !        !          !        !        !  code for FY 2010 (Oct - Mar)     !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !                                   !
 !   15   ! LTCAL110 !   80   ! 27920  !  CALculation program source       !
 !        !          !        !        !  code for FY 2011 (Oct - Sept)    !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !                                   !
 !   16   ! LTCAL111 !   80   ! 27920  !  CALculation program source       !
 !        !          !        !        !  code for FY 2010 (Apr - Sept)    !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !                                   !
 !   17   ! LTCAL123 !   80   ! 27920  !  CALculation program source       !
 !        !          !        !        !  code for FY 2012 (Oct - Sept)    !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !      (REF. ONLY) LTCH             !
 !   17   ! LTDRG075 !   80   ! 27920  !  DRG parameters file - FY 2007    !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !      (REF. ONLY) LTCH             !
 !   18   ! LTDRG080 !   80   ! 27920  !  DRG parameters file - FY 2008    !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !      (REF. ONLY) LTCH             !
 !   19   ! LTDRG086 !   80   ! 27920  !  DRG parameters file - FY 2008    !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !      (REF. ONLY) LTCH             !
 !   20   ! LTDRG093 !   80   ! 27920  !  DRG parameters file - FY 2009    !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !      (REF. ONLY) LTCH             !
 !   21   ! LTDRG095 !   80   ! 27920  !  DRG parameters file - FY 2009    !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !      (REF. ONLY) LTCH             !
 !   22   ! LTDRG100 !   80   ! 27920  !  DRG parameters file - FY 2010    !
  --------!----------!--------!--------!-----------------------------------
 !        !          !        !        !      (REF. ONLY) LTCH             !
 !   23   ! LTDRG110 !   80   ! 27920  !  DRG parameters file - FY 2011    !
  --------!----------!--------!--------!-----------------------------------
(continued on next page)




                                  II-4A
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !      (REF. ONLY) IPPS             !
 !   24   ! IPDRG071 !   80   ! 27920  !  DRG parameters file - FY 2007    !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !      (REF. ONLY) IPPS             !
 !   25   ! IPDRG080 !   80   ! 27920  !  DRG parameters file - FY 2008    !
 !--------!----------!--------!--------!-----------------------------------
 !        !          !        !        !      (REF. ONLY) IPPS             !
 !   26   ! IPDRG090 !   80   ! 27920  !  DRG parameters file - FY 2009    !
 !--------!----------!--------!--------!-----------------------------------
 !        !          !        !        !      (REF. ONLY) IPPS             !
 !   27   ! IPDRG104 !   80   ! 27920  !  DRG parameters file - FY 2010    !
 !--------!----------!--------!--------!-----------------------------------
 !        !          !        !        !      (REF. ONLY) IPPS             !
 !   28   ! IPDRG110 !   80   ! 27920  !  DRG parameters file - FY 2011    !
 !--------!----------!--------!--------!-----------------------------------
 !        !          !        !        !      (REF. ONLY) IPPS             !
 !   29   ! IPDRG123 !   80   ! 27920  !  DRG parameters file - FY 2013    !
 !--------!----------!--------!--------!-----------------------------------
 !        !          !        !        !      (PRODUCTION FILE)            !
 !   29   ! LTMSA123 !   80   ! 27920  !  MSA Urban/Rural Wage Index file  !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !      (PRODUCTION FILE) LTCH       !
 !   30   ! LTWIX123 !   80   ! 27920  !  CBSA Urban/Rural Wage Index file !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !      (PRODUCTION FILE) IPPS       !
 !   31   ! IPWIX123 !   80   ! 27920  !  CBSA Urban/Rural Wage Index file !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !      (PRODUCTION FILE) IPPS       !
 !   32   ! IRFBN091 !   80   ! 27920  ! STATE SPECIFIC RFBNS - FY 2009 le !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !      (PRODUCTION FILE) IPPS       !
 !   33   ! IRFBN102 !   80   ! 27920  ! STATE SPECIFIC RFBNS - FY 2010 le !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !      (PRODUCTION FILE) IPPS       !
 !   34   ! IRFBN105 !   80   ! 27920  ! STATE SPECIFIC RFBNS - FY 2010 le !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !      (PRODUCTION FILE) IPPS       !
 !   35   ! IRFBN110 !   80   ! 27920  ! STATE SPECIFIC RFBNS - FY 2011 le !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !        (TEST FILE)                !
 !   36   ! TPROV121 !  240   !  2400  !  Provider Specific Test Data      !
 !        !          !        !        !  file (NEW FORMAT)                !
 !--------!----------!--------!--------!-----------------------------------!
 !        !          !        !        !        (TEST FILE)                !
 !   37   ! TBILL121 !   60   !   600  !  Bill Test Data file (NEW FORMAT) !
 !--------!----------!--------!--------!-----------------------------------!
 !   38   ! OPER121  !  133   !  1330  !  Expected Test Results            !
 !-------THESE FILES ARE ONLY FOR VA HMO AND FEHB--------------------------!
 !   39   ! PRVR123  !        !        !                                   !
 !  Thru  ! PRVR4    !   240  ! 27840  !  Provider Regions 1 thru 10       !
 !   43   ! PRVR6    !   240  ! 27840  !  Provider Regions 1 thru 10       !
 !        ! PRVR57   !        !        !  (NEW FORMAT) grouped by Regional !
 !        ! PRVR8910 !        !        !  Consortium except for regions 4&6!
  --------------------------------------------------------------------------
   ** NOTE:    IBM Standard Label: 1600 BPI
   Figure 2.1: Layout of PRICER INSTALLATION TAPE/CARTRIDGE and
               NETWORK DATA MOVER (NDM) FILE































                                     II-4B
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT

 //LOAD    PROC DSN=,FILE=,FB=FB,LRECL=80,BLK=27920,PREF=,MEDIA=,
 //        DATE=
 //COPY    EXEC PGM=IEBGENER
 //SYSPRINT DD SYSOUT=A
 //SYSIN    DD DUMMY,DCB=BLKSIZE=80
 //SYSUT1   DD DISP=OLD,DSN=&DSN,
 //   LABEL=(&FILE,SL),
 //   UNIT=TAPE,VOL=(,RETAIN,SER=XXXXXX),
 //   DCB=(RECFM=&FB,LRECL=&LRECL,BLKSIZE=&BLK,DEN=3)
 //SYSUT2   DD DSN=&PREF..LTCTEST.&DSN,
 //   DISP=(NEW,CATLG,DELETE),UNIT=SYSDA,
 //   SPACE=(&BLK,(1010),RLSE),
 //   DCB=(RECFM=&FB,LRECL=&LRECL,BLKSIZE=&BLK)
 //PEND
 //LTC    EXEC LOAD,PREF='XX.XXXX',FILE=1,
 //        DSN=FOREIGN.&MEDIA.PSF&DATE..LTC121
 //MANUAL EXEC LOAD,PREF='XX.XXXX',FILE=2,DSN=MANU123,
 //       LRECL=80,BLK=27920,FB=FBA
 //MGR    EXEC LOAD,PREF='XX.XXXX',FILE=3,DSN=LTMGR130
 //COPY.SYSUT2 DD DSN=&PREF..LTCTEST.&DSN..COBOL
 //OPN    EXEC LOAD,PREF='XX.XXXX',FILE=4,DSN=LTOPN130
 //COPY.SYSUT2 DD DSN=&PREF..LTCTEST.&DSN..COBOL
 //DRV    EXEC LOAD,PREF='XX.XXXX',FILE=5,DSN=LTDRV130
 //COPY.SYSUT2 DD DSN=&PREF..LTCTEST.&DSN..COBOL
 //CALYR1A EXEC LOAD,PREF='XX.XXXX',FILE=6,DSN=LTCAL063
 //COPY.SYSUT2 DD DSN=&PREF..LTCTEST.&DSN..COBOL
 //CALYR1B EXEC LOAD,PREF='XX.XXXX',FILE=7,DSN=LTCAL064
 //COPY.SYSUT2 DD DSN=&PREF..LTCTEST.&DSN..COBOL
 //CALYR2A EXEC LOAD,PREF='XX.XXXX',FILE=8,DSN=LTCAL072
 //COPY.SYSUT2 DD DSN=&PREF..LTCTEST.&DSN..COBOL
 //CALYR2B EXEC LOAD,PREF='XX.XXXX',FILE=9,DSN=LTCAL075
 //COPY.SYSUT2 DD DSN=&PREF..LTCTEST.&DSN..COBOL
 //CALYR3A EXEC LOAD,PREF='XX.XXXX',FILE=10,DSN=LTCAL080
 //COPY.SYSUT2 DD DSN=&PREF..LTCTEST.&DSN..COBOL
 //CALYR3B EXEC LOAD,PREF='XX.XXXX',FILE=11,DSN=LTCAL087
 //COPY.SYSUT2 DD DSN=&PREF..LTCTEST.&DSN..COBOL
 //CALYR4A EXEC LOAD,PREF='XX.XXXX',FILE=12,DSN=LTCAL091
 //COPY.SYSUT2 DD DSN=&PREF..LTCTEST.&DSN..COBOL
 //CALYR4B EXEC LOAD,PREF='XX.XXXX',FILE=13,DSN=LTCAL094
 //COPY.SYSUT2 DD DSN=&PREF..LTCTEST.&DSN..COBOL
 //CALYR4C EXEC LOAD,PREF='XX.XXXX',FILE=14,DSN=LTCAL095
 //COPY.SYSUT2 DD DSN=&PREF..LTCTEST.&DSN..COBOL
 //CALYR5A EXEC LOAD,PREF='XX.XXXX',FILE=15,DSN=LTCAL103
 //COPY.SYSUT2 DD DSN=&PREF..LTCTEST.&DSN..COBOL
 //CALYR5b EXEC LOAD,PREF='XX.XXXX',FILE=16,DSN=LTCAL123
 //COPY.SYSUT2 DD DSN=&PREF..LTCTEST.&DSN..COBOL
 //DRGXYR1 EXEC LOAD,PREF='XX.XXXX',FILE=17,DSN=LTDRG057
 //DRGXYR2 EXEC LOAD,PREF='XX.XXXX',FILE=18,DSN=LTDRG062
 //DRGXYR3 EXEC LOAD,PREF='XX.XXXX',FILE=19,DSN=LTDRG075
 //DRGXYR4 EXEC LOAD,PREF='XX.XXXX',FILE=20,DSN=LTDRG080
 //DRGXYR5 EXEC LOAD,PREF='XX.XXXX',FILE=21,DSN=LTDRG086
 //DRGXYR6 EXEC LOAD,PREF='XX.XXXX',FILE=22,DSN=LTDRG093
 //DRGXYR7 EXEC LOAD,PREF='XX.XXXX',FILE=23,DSN=LTDRG095
 //DRGXYR8 EXEC LOAD,PREF='XX.XXXX',FILE=24,DSN=LTDRG100

(continued on next page)
                                 II-5A
 //IPDRGY1 EXEC LOAD,PREF='XX.XXXX',FILE=25,DSN=IPDRG063
 //IPDRGY2 EXEC LOAD,PREF='XX.XXXX',FILE=26,DSN=IPDRG071
 //IPDRGY3 EXEC LOAD,PREF='XX.XXXX',FILE=27,DSN=IPDRG080
 //IPDRGY4 EXEC LOAD,PREF='XX.XXXX',FILE=28,DSN=IPDRG090
 //IPDRGY5 EXEC LOAD,PREF='XX.XXXX',FILE=29,DSN=IPDRG104
 //IPDRGY6 EXEC LOAD,PREF='XX.XXXX',FILE=29,DSN=IPDRG123
 //MSAX    EXEC LOAD,PREF='XX.XXXX',FILE=30,DSN=LTMSA123
 //CBSA   EXEC LOAD,PREF='XX.XXXX',FILE=31,DSN=LTWIX123
 //IPCBSA EXEC LOAD,PREF='XX.XXXX',FILE=32,DSN=IPWIX123
 //IRFBN1 EXEC LOAD,PREF='XX.XXXX',FILE=33,DSN=IRFBN090
 //IRFBN2 EXEC LOAD,PREF='XX.XXXX',FILE=34,DSN=IRFBN102
 //IRFBN3 EXEC LOAD,PREF='XX.XXXX',FILE=35,DSN=IRFBN105
 //PROV   EXEC LOAD,PREF='XX.XXXX',FILE=36,DSN=TPROV121,LRECL=240,BLK=2400
 //BILL   EXEC LOAD,PREF='XX.XXXX',FILE=37,DSN=TBILL121,LRECL=60,BLK=600
 //PRTOPER EXEC LOAD,PREF='XX.XXXX',FILE=38,DSN=OPER121,LRECL=133,
 //        BLK=1330,FB=FBA
     ****** NOTE  ADDED JCL FOR HMO, VA AND FEHB  *******
 //REG123  EXEC LOAD,PREF='XX.XXXX',FILE=39,DSN=PRVR123,LRECL=240,BLK=27840
 //REG4    EXEC LOAD,PREF='XX.XXXX',FILE=40,DSN=PRVR4,LRECL=240,BLK=278 40
 //REG6    EXEC LOAD,PREF='XX.XXXX',FILE=41,DSN=PRVR6,LRECL=240,BLK=278 40
 //REG57   EXEC LOAD,PREF='XX.XXXX',FILE=42,DSN=PRVR57,LRECL=240,BLK=27840
 //REG8910 EXEC LOAD,PREF='XX.XXXX',FILE=43,DSN=PRVR8910,LRECL=240,BLK=27840
   **NOTE: Supply your own JOB card and apply your data center's standards.
 Figure 2.2:  Sample JCL - Tape to Disk load of the PRICER Installation Tape
 ------------------------------------------------------------------------------







































                                    II-5B



1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT


 ** FOR COBOL LINK

 //ALOC     EXEC PGM=IEFBR14
 //SYSPRINT DD SYSOUT=A
 //DD1      DD DSN=XX.XXXX.LTCTEST.LOAD.XXXXXXXX,
 // DISP=(NEW,CATLG,DELETE),UNIT=SYSDA,
 // SPACE=(TRK,(15,3,3)),
 // DCB=(RECFM=U,BLKSIZE=3120,DSORG=PO)
 //*
 //COMPLOAD EXEC COBCCL,
 // CAPEX='MLIST,MDMAP,XCOUNT,NOSOU,NOTRU,CSXREF',
 // SYSIN='XX.XXXX.LTCTEST.XXXXXXXX.COBOL',
 // COPYLIB='SYS1.COBLIB',
 // SUBPGMS='SYS1.COBLIB',
 // SYSLMOD='XX.XXXX.LTCTEST.LOAD.XXXXXXXX',
 // SYSOUT='A'
 //STEP01.CAICSL DD DSN=&CSL1,UNIT=SYSDA,
 // SPACE=(CYL,(1,1,1)),DISP=(NEW,PASS)
 //STEP02.SYSLIN DD
 //  DD *
  NAME XXXXXXXX(R)

 *** NOTE: Supply your own JOB card and apply your data center's
              standards. Run once for each cobol Program.

 **  FOR MVS LINK

 //PROG    EXEC IGYWCL,PARM=(DYNAM,NORENT)
 //COBOL.SYSIN DD DSN=XXX.XXXX.PROGRAM,DISP=SHR
 //LKED.SYSLMOD DD DSN=XXX.XXXX.LOAD,DISP=SHR
 /*

 *** NOTE: COMPILE OPTIONS
 DYNAM IS SUGGESTED FOR CICS
 RENT IS SUGESTED FOR CICS & ALLOWS THE PROGRAM TO EXECUTE ABOVE 16MB

 Figure 2.3:  Sample JCL - Creates load modules for PPOPNs, PPDRVs and
      PPCALs.















                                      II-6
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT



 //ALOC    EXEC PGM=IEFBR14
 //SYSPRINT  DD SYSOUT=A
 //DD1      DD DSN=XX.XXXX.LTCTEST.LOAD.LTMGR130,DISP=(,CATLG,DELETE),
 // UNIT=SYSDA,SPACE=(TRK,(15,3,3)),
 // DCB=(RECFM=U,BLKSIZE=13030,DSORG=PO)
 //LTMGR   EXEC COBCCL,
 // CAPEX='MLIST,MDMAP,XCOUNT,NOSOU,NOTRU,CSXREF',
 // SYSIN='XX.XXXX.LTCTEST.LTMGR130.COBOL',
 // COPYLIB='SYS1.COBLIB',
 // SUBPGMS='SYS1.COBLIB',
 // SYSLMOD='XX.XXXX.LTCTEST.LOAD.LTMGR130',
 // SYSOUT='A'
 //STEP01.CAICSL DD DSN=&CSL1,UNIT=SYSDA,
 // SPACE=(CYL,(1,1,1)),DISP=(NEW,PASS)
 //STEP02.SYSLIN DD
 //   DD *
  NAME LTCTEST(R)

   **NOTE: Supply your own JOB card and apply your data center's standards.
 Figure 2.4:  Sample JCL - Linkedit.
































                                       II-7
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT



 III.  USING THE FY12, RY12 LTCH PROSPECTIVE PAYMENT PRICER SUBROUTINE (LTCAL)

   III-1.  GENERAL

   The purpose of the PPS PRICER subroutine (LTCAL) is to provide the  user with
   the proper payment amount for Long-Term Care Hospital PPS bills.  Each  LTCAL
   processes  one  Fiscal Year and Rate Year combination's bills. PRICER will be
   processing the latest 5 year period.

   The driver program (LTDRV) which  CALLs the LTCALs and  passes the  necessary
   data or  a user written interface  program calls LTCAL  supplying it with the
   necessary  data. LTCAL will calculate the payment amount for a Long-Term Care
   Hospital PPS bill based  on the data  elements passed to it.   It will return
   the payment amount & other data used in  pricing or  error  codes  if pricing
   could not be properly executed.  Since LTCAL expects fully edited and audited
   data, it   performs only rudimentary data edits.  It is the responsibility of
   the Intermediary to  assure the accuracy of the data that is submitted to the
   LTCAL subroutine.

   III-2.  USING LTCAL123-
   Using LTCAL for batch requires:

       1.  Installing PRICER as specified in Section II.

       2.  Execute LTDRV or  a user  written interface program  that passes  the
           proper data.

   LTCALulation modules  can execute independently  if a user  written interface
   program  supplies the  necessary data  i.e.,  PSF and  wage index  files, see
   OPTION 1.
 ------------------------------------------------------------------------------





















                                    III-1
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT
 //LOAD    PROC FB=FB,PREF='XX.XXXX',DSN=LTC121
 //COPY    EXEC PGM=IEBGENER
 //SYSPRINT DD SYSOUT=A
 //SYSIN    DD DUMMY,DCB=BLKSIZE=80
 //**    SYSUT1 => WILL BE THE NDM FILE FROM CMS    ***
 //SYSUT1   DD DISP=OLD,DSN=&PREF..PRICER.&DSN(&MEMBER),
 //   DCB=(RECFM=FB,LRECL=&LRECL,BLKSIZE=&BLK)
 //SYSUT2   DD DSN=&PREF..PRICER.&MEMBER,
 //   DISP=(NEW,CATLG,DELETE),UNIT=SYSDA,
 //   SPACE=(&BLK,(2500),RLSE),
 //   DCB=(RECFM=&FB,LRECL=&LRECL,BLKSIZE=&BLK)
 //PEND
 //*LTC    EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTC121
 //*MANUAL EXEC LOAD,LRECL=80,BLK=27920,MEMBER=MANU123,FB=FBA
 //*MGR    EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTMGR130
 //*COPY.SYSUT2 DD DSN=&PREF..PRICER.&MEMBER..COBOL
 //OPN    EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTOPN130
 //COPY.SYSUT2 DD DSN=&PREF..PRICER.&MEMBER..COBOL
 //DRV    EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTDRV130
 //COPY.SYSUT2 DD DSN=&PREF..PRICER.&MEMBER..COBOL
 //CALYR2A EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTCAL072
 //COPY.SYSUT2 DD DSN=&PREF..PRICER.&MEMBER..COBOL
 //CALYR2B EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTCAL075
 //COPY.SYSUT2 DD DSN=&PREF..PRICER.&MEMBER..COBOL
 //CALYR3A EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTCAL080
 //COPY.SYSUT2 DD DSN=&PREF..PRICER.&MEMBER..COBOL
 //CALYR3B EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTCAL087
 //COPY.SYSUT2 DD DSN=&PREF..PRICER.&MEMBER..COBOL
 //CALYR4A EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTCAL091
 //COPY.SYSUT2 DD DSN=&PREF..PRICER.&MEMBER..COBOL
 //CALYR4B EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTCAL094
 //COPY.SYSUT2 DD DSN=&PREF..PRICER.&MEMBER..COBOL
 //CALYR4C EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTCAL095
 //COPY.SYSUT2 DD DSN=&PREF..PRICER.&MEMBER..COBOL
 //CALYR5A EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTCAL103
 //COPY.SYSUT2 DD DSN=&PREF..PRICER.&MEMBER..COBOL
 //CALYR5B EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTCAL111
 //COPY.SYSUT2 DD DSN=&PREF..PRICER.&MEMBER..COBOL
 //CALYR6A EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTCAL123
 //COPY.SYSUT2 DD DSN=&PREF..PRICER.&MEMBER..COBOL
 //DRGXYR1 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTDRG031
 //DRGXYR2 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTDRG041
 //DRGXYR3 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTDRG057
 //DRGXYR4 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTDRG062
 //DRGXYR5 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTDRG075
 //DRGXYR6 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTDRG080
 //DRGXYR7 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTDRG086
 //DRGXYR8 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTDRG093
 //DRGXYR9 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTDRG095
 //DRGXYR0 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTDRG100
 //DRGXYRA EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTDRG110
 //DRGXYRB EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTDRG123
 //IPDRGY1 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=IPDRG063
 //IPDRGY2 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=IPDRG071
 //IPDRGY3 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=IPDRG080
 //IPDRGY4 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=IPDRG090
 //IPDRGY5 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=IPDRG104
 //IPDRGY6 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=IPDRG123
 //MSAX   EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTMSA123
 //CBSA   EXEC LOAD,LRECL=80,BLK=27920,MEMBER=LTWIX123
 //IPCBSA EXEC LOAD,LRECL=80,BLK=27920,MEMBER=IPWIX123
 //IRFBN1 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=IRFBN090
 //IRFBN2 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=IRFBN102
 //IRFBN3 EXEC LOAD,LRECL=80,BLK=27920,MEMBER=IRFBN105
 //*PROV   EXEC LOAD,LRECL=240,BLK=2400,MEMBER=PROV123
 //*BILL   EXEC LOAD,LRECL=60,BLK=600,MEMBER=BILL123
 //*PRTOPER EXEC LOAD,LRECL=133,BLK=1330,MEMBER=OPER123,FB=FBA
    ****** NOTE  ADDED JCL FOR HMO, VA AND FEHB  *******
 //*REG123  EXEC LOAD,PREF='XX.XXXX',FILE=39,DSN=PRVR123,LRECL=240,BLK=27840
 //*REG4    EXEC LOAD,PREF='XX.XXXX',FILE=40,DSN=PRVR4,LRECL=240,BLK=27 840
 //*REG6    EXEC LOAD,PREF='XX.XXXX',FILE=41,DSN=PRVR6,LRECL=240,BLK=27 840
 //*REG57   EXEC LOAD,PREF='XX.XXXX',FILE=42,DSN=PRVR57,LRECL=240,BLK=27840
 //*REG8910 EXEC LOAD,PREF='XX.XXXX',FILE=43,DSN=PRVR8910,LRECL=240,BLK=27840

 Figure 3.1:  Sample JCL - NDM FILE disk download of the PRICER Installation NDM
 FILE
                                    III-2
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT



 //ALOC     EXEC PGM=IEFBR14
 //SYSPRINT DD SYSOUT=A
 //DD1      DD DSN=XX.XXXX.LTCTEST.LOAD.XXXXXXXX,
 // DISP=(NEW,CATLG,DELETE),UNIT=SYSDA,
 // SPACE=(TRK,(15,3,3)),
 // DCB=(RECFM=U,BLKSIZE=3120,DSORG=PO)
 //*
 //COMPLOAD EXEC COB2UCL,
 // PARM.COB2=(APOST,NODYNAM,LIB,RES,NONAME,AWO,OFF,TERM,
 //     X,'TRUNC(BIN)',NOADV,NOOPT,DUMP,OBJ,'DATA(24)')
 // PARM.LKED=(LIST,NOADV,NOOPT,XREF,LET,MAP,'AMODE(24)')
 //COB2.SYSIN   DD DSN=XX.XXXX.LTCTEST.XXXXXXXX.COBOL,DISP=SHR
 //COB2.SYSTERM DD SYSOUT=A
 //LKED.SYSLMOD DD XX.XXXX.LTCTEST.LOAD.XXXXXXXX,DISP=SHR
 //LKED.SYSUT1  DD UNIT=SYSDA
 /*

   **NOTE: Supply your own  JOB card and apply  your data center's standards.
           Run once for each COBOL II Program.

   **NOTE:     Parm card information may vary a your data center.

 Figure 3.2:   CICS / VS-COBOL II Sample JCL -  Creates load modules for
               LTCALs, LTOPNs and LTDRVs.

 ------------------------------------------------------------------------------

 //ALOC    EXEC PGM=IEFBR14
 //SYSPRINT  DD SYSOUT=A
 //DD1      DD DSN=XX.XXXX.LTCTEST.LOAD.LTMGR130,DISP=(,CATLG,DELETE),
 // UNIT=SYSDA,SPACE=(TRK,(15,3,3)),
 // DCB=(RECFM=U,BLKSIZE=13030,DSORG=PO)
 //*
 //LTMGR    EXEC COB2UCL,
 // PARM.COB2=(APOST,NODYNAM,LIB,RES,NONAME,AWO,OFF,TERM,
 //      X,'TRUNC(BIN)',NOADV,NOOPT,DUMP,OBJ,'DATA(24)')
 // PARM.LKED=(LIST,NOADV,NOOPT,XREF,LET,MAP,'AMODE(24)')
 //COB2.SYSIN   DD DSN=XX.XXXX.LTCTEST.LTMGR130.COBOL,DISP=SHR
 //COB2.SYSTERM DD SYSOUT=A
 //LKED.SYSLMOD DD XX.XXXX.LTCTEST.LOAD.LTMGR130,DISP=SHR
 //LKED.SYSIN DD *
  NAME LTCTEST3(R)

   **NOTE: Supply your own JOB card and apply  your data center's standards.
           Object modules for versions  V23.0,  V24.0,  V25.0, v26.0, v27.0
           of the Grouper software must be available.

   **NOTE: Parm card information may vary at your data center.

 Figure 3.3:  Sample JCL - Linkedit LTMGR.


                                    III-3
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT



 IV.  Using The FY 2013, RY 2013 LTCH Prospective Payment Subroutine (LTDRV111)

   IV-3.   GENERAL

   LTDRV is a batch driver program that performs the following:

   1.  CALLs the appropriate yearly LTCALculation Module.
   2.  Passes the necessary data to price the bill.
   3.  Passes the necessary data back to LTOPN, which in turn passes
       the necessary data back to LTMGR to print the Results.

   IV-4.   USING LTDRV

   The user can execute LTDRV directly by supplying all the arguments needed for
   Pricing.

   ** NOTE:  MSAX is supplied by CMS on the LTCH PPS PRICER INSTALLATION FILE.
   ** NOTE:  CBSA is supplied by CMS on the LTCH PPS PRICER INSTALLATION FILE.
   ** NOTE:  IPCBSA is supplied by CMS on the LTCH PPS PRICER INSTALLATION FILE.
   ** NOTE:  PROV (the  provider specific file) must  be created by the
             Intermediary.  The DRGX files are also on the installation file.
             It is now memory resident and the file is for reference only.






























                                    IV-1
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT



   Figure  4.1  shows  the   argument  list  components  for  LTCAL   and  the
   requirements for  argument inclusion  by OPTION.   Also,  Figure 4.1  shows
   which subsequent figure shows the format of each argument.
  ---------------------------------------------------------------------
 !                                      ! REQ'D BY OPTION !            !
 !                                      !   1 !  2  !  3  !            !
 ! CALL 'LTCAL'                         !-----------------!   FORMAT   !
 !      USING                           !     !  P  !  A  !            !
 ! =====================================!=====!=====!=====!============!
 ! 1                                    !     !     !     !            !
 !  Data elements from the bill         !  *  !  *  !  *  !  Fig. 4.2  !
 !--------------------------------------!-----!-----!-----!------------!
 ! 2                                    !     !     !     !            !
 !  Data elements returned by LTCAL     !  *  !  *  !  *  !  Fig. 4.3  !
 !--------------------------------------!-----!-----!-----!------------!
 ! 3                                    !     !     !     !            !
 !  CBSA returned by LTCAL              !  *  !  *  !  *  !  Fig. 4.4  !
 !--------------------------------------!-----!-----!-----!------------!
 ! 4                                    !     !     !     !            !
 !  Pricer opt-vers switch              !  *  !  *  !  *  !  Fig. 4.5  !
 !--------------------------------------!-----!-----!-----!------------!
 ! 5                                    !     !     !     !            !
 !  Interface supplied provider record  !     !  *  !  *  !  Fig. 4.6  !
 !--------------------------------------!-----!-----!-----!------------!
 ! 6                                    !     !     !     !            !
 !  Interface supplied MSA record -or-  !     !     !  *  !  Fig. 4.7A !
 !  Interface supplied CBSA record      !     !     !     !  Fig. 4.7B !
 !--------------------------------------!-----!-----!-----!------------!
 ! 7                                    !     !     !     !            !
 !  Interface supplied IPPS CBSA file   !     !     !  *  !  Fig. 4.8  !
  ---------------------------------------------------------------------

   FIGURE 4.1: LTCAL Call List Arguments



















                                     IV-2
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT


  ------------------------------------------------------------------------
 !                              !         !      !         COBOL          !
 !          FIELD               !   LOC   ! SIZE !------------------------!
 !                              !         !      !   PICTURE  !   USAGE   !
 !==============================!=========!======!============!===========!
 !                              !         !      !            !           !
 ! National Provider Identifier !  1- 10  !  10  ! X(10)      ! DISPLAY   !
 !------------------------------!---------!------!------------!-----------!
 ! Provider Number              !  11-16  !  6   ! X(06)      ! DISPLAY   !
 !------------------------------!---------!------!------------!-----------!
 ! Provider Status Code         !  17-18  !  2   ! 9(02)      ! DISPLAY   !
 !------------------------------!---------!------!------------!-----------!
 ! DRG Number (from GROUPER)    !  19-21  !  3   ! 9(03)      ! DISPLAY   !
 !------------------------------!---------!------!------------!-----------!
 ! Length of Stay               !  22-24  !  3   ! 9(03)      ! DISPLAY   !
 !------------------------------!---------!------!------------!-----------!
 ! Covered Days                 !  25-27  !  3   ! 9(03)      ! DISPLAY   !
 !------------------------------!---------!------!------------!-----------!
 ! Lifetime Reserved Days Used  !  28-29  !  2   ! 9(02)      ! DISPLAY   !
 !------------------------------!---------!------!------------!-----------!
 ! Discharge Date               !  30-37  !      !            !           !
 !      Discharge Century       !         !  2   ! 9(02)      ! DISPLAY   !
 !      Discharge Year          !         !  2   ! 9(02)      ! DISPLAY   !
 !      Discharge Month         !         !  2   ! 9(02)      ! DISPLAY   !
 !      Discharge Day           !         !  2   ! 9(02)      ! DISPLAY   !
 !------------------------------!---------!------!------------!-----------!
 ! Covered Charges              !  38-46  !  9   ! 9(07)V9(02)! DISPLAY   !
 !------------------------------!---------!------!------------!-----------!
 ! Special Payment Indicator    !    47   !  1   ! X(01)      ! DISPLAY   !
 !------------------------------!---------!------!------------!-----------!
 ! FILLER                       !  48-60  !  13  ! X(13)      ! DISPLAY   !
 !------------------------------!---------!------!------------!-----------!

   FIGURE 4.2: LTCAL Call List Argument # 1
               Bill Data Sent to LTCAL


















                                      IV-3
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT



  ----------------------------------------------------------------------
 !                              !          !     !       COBOL          !
 !            FIELD             !   LOC    !SIZE !------------!---------!
 !                              !          !     !  PICTURE   !  USAGE  !
 !==============================!========= !=====!============!=========!
 !                              !          !     !            !         !
 ! LTCAL Return Code            !   1-  2  !  2  ! 9(02)      ! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! Charge Threshold             !   3- 11  !  9  ! 9(07)V9(02)! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! MSA                          !  12- 15  !  4  ! X(04)      ! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! Wage Index                   !  16- 21  !  6  ! 9(02)V9(04)! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! DRG Average Length of Stay   !  22- 24  !  3  ! 9(02)V9(01)! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! DRG Relative Weight          !  25- 29  !  5  ! 9(01)V9(04)! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! Outlier Payment Amount       !  30- 38  !  9  ! 9(07)V9(02)! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! Length of Stay               !  39- 41  !  3  ! 9(03)      ! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! DRG Adjusted Payment Amount  !  42- 50  !  9  ! 9(07)V9(02)! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! Federal Payment Amount       !  51- 59  !  9  ! 9(07)V9(02)! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! Final Payment Amount         !  60- 68  !  9  ! 9(07)V9(02)! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! Facility Costs               !  69- 77  !  9  ! 9(07)V9(02)! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! New Facility Specific Rate   !  78- 84  !  7  ! 9(05)V9(02)! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! Outlier Threshold            !  85- 93  !  9  ! 9(07)V9(02)! DISPLAY !
  ----------------------------------------------------------------------
  (continues on next page)




                                    IV-4
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT


  (continued from previous page)

  ----------------------------------------------------------------------
 !                              !          !     !       COBOL          !
 !            FIELD             !   LOC    !SIZE !------------!---------!
 !                              !          !     !  PICTURE   !  USAGE  !
 !==============================!========= !=====!============!=========!
 !                              !          !     !            !         !
 ! Submitted DRG Code           !  94- 96  !  3  ! X(03)      ! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! LTCAL Version Code           !  97-101  !  5  ! X(05)      ! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! Regular Days Used            ! 102-104  !  3  ! 9(03)      ! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! Lifetime Reserved Days Used  ! 105-107  !  3  ! 9(03)      ! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! PPS Blend Year               !   108    !  1  ! 9(01)      ! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! Cost of Living Adjustment    ! 109-112  !  4  ! 9(01)V9(03)! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! FILLER                       ! 113-116  !  4  ! X(04)      ! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! National Labor Percent       ! 117-122  !  6  ! 9(01)V9(05)! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! National Non-Labor Percent   ! 123-128  !  6  ! 9(01)V9(05)! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! Standard Federal Rate        ! 129-135  !  7  ! 9(05)V9(02)! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! Budget Neutrality Rate       ! 136-139  !  4  ! 9(01)V9(03)! DISPLAY !
 !------------------------------!----------!-----!------------!---------!
 !                              !          !     !            !         !
 ! FILLER                       ! 140-180  !  41 ! X(41)      ! DISPLAY !
 !------------------------------!----------!-----!------------!---------!

  FIGURE 4.3:  LTCAL Call List Argument # 2 Data Returned by LTCAL








                                     IV-5
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT



  ----------------------------------------------------------------------
 !                              !         !      !          COBOL       !
 !          FIELD               !  LOC    !SIZE  !--------------------- !
 !                              !         !      !  PICTURE      USAGE  !
 !==============================!=========!======!============!=========!
 ! CBSA                         !  1- 5   !  5   ! X(05)      !DISPLAY  !
 !------------------------------!---------!------!------------!---------!

  FIGURE 4.4:  LTCAL Call List Argument # 3 CBSA Returned by LTCAL











































                                    IV-6
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT

  ----------------------------------------------------------------------
 !                              !         !      !          COBOL       !
 !          FIELD               !  LOC    !SIZE  !--------------------- !
 !                              !         !      !  PICTURE      USAGE  !
 !==============================!=========!======!============!=========!
 ! PRICER opt-vers switch **    !    1    !  1   !X(01)       !DISPLAY  !
 !------------------------------!---------!------!------------!---------!
 ! PRICER LTDRV version         !  2-  6  !  5   !X(05)       !DISPLAY  !
  ----------------------------------------------------------------------

   FIGURE 4.5:      LTCAL  Call List  Argument # 4 PRICER  opt-vers  switch
                    Options 1, 2, 3

   **Note:
       " " = OPTION 1: Return standard variables.

       "A" = OPTION 2: Return standard variables,
                       Provider Record Supplied by Interface, &
                       MSAX & CBSA file supplied by Interface.

       "P" = OPTION 3: Return standard Variables &
                       Provider Record Supplied by Interface.
































                                    IV-7
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT


  Interface Supplied Provider Specific Record for options 2 and 3
  -----------------------------------------------------------------------
 !                              !          !     !      COBOL            !
 !            FIELD             !   LOC    !SIZE !-------------!-------- !
 !                              !          !     !  PICTURE    ! USAGE   !
 !==============================!========= !=====!============ !======== !
 ! National Provider Identifier !  1-10    !  10 ! X(10)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Provider Number              !  11-16   !     !             !         !
 !   Provider State Code        !          !  2  ! 9(02)       !DISPLAY  !
 !   Provider Number            !          !  4  ! X(04)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Provider Effective Date      !  17-24   !     !             !         !
 !   Effective Century          !          !  2  ! 9(02)       !DISPLAY  !
 !   Effective Year             !          !  2  ! 9(02)       !DISPLAY  !
 !   Effective Month            !          !  2  ! 9(02)       !DISPLAY  !
 !   Effective Day              !          !  2  ! 9(02)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Fiscal Year Begin Date       !  25-32   !     !             !         !
 !   Effective Century          !          !  2  ! 9(02)       !DISPLAY  !
 !   Effective Year             !          !  2  ! 9(02)       !DISPLAY  !
 !   Effective Month            !          !  2  ! 9(02)       !DISPLAY  !
 !   Effective Day              !          !  2  ! 9(02)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Report Date                  !  33-40   !     !             !         !
 !   Effective Century          !          !  2  ! 9(02)       !DISPLAY  !
 !   Effective Year             !          !  2  ! 9(02)       !DISPLAY  !
 !   Effective Month            !          !  2  ! 9(02)       !DISPLAY  !
 !   Effective Day              !          !  2  ! 9(02)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Termination Date             !  41-48   !     !             !         !
 !   Effective Century          !          !  2  ! 9(02)       !DISPLAY  !
 !   Effective Year             !          !  2  ! 9(02)       !DISPLAY  !
 !   Effective Month            !          !  2  ! 9(02)       !DISPLAY  !
 !   Effective Day              !          !  2  ! 9(02)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! PPS Waiver Code              !  49      !  1  ! X(01)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Intermediary Number          !  50-54   !  5  ! 9(05)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Provider Type                !  55-56   !  2  ! X(02)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Current Census Division      !  57      !  1  ! 9(01)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Chg Code for Wage-index      !          !     !             !         !
 ! Reclassification             !  58      !  1  ! X(01)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Metropolitan Statistical     !  59-62   !  4  ! X(04)       !DISPLAY  !
 !   Area (MSA) Actual Geo Loc  !          !     !             !         !
 !------------------------------!----------!-----!-------------!---------!

  (continues on next page)

                                    IV-8
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT


  (continued from previous page)

 ------------------------------------------------------------------------
 ! Metropolitan Statistical     !  63-66   !  4  ! X(04)       !DISPLAY  !
 !   Area (MSA) Wage-index Loc  !          !     !             !         !
 ! (chg code for WI reclass = y)!          !     !             !         !
 !------------------------------!----------!-----!-------------!---------!
 ! Metropolitan Statistical     !  67-70   !  4  ! X(04)       !DISPLAY  !
 !   Area (MSA) Standardized Loc!          !     !             !         !
 !------------------------------!----------!-----!-------------!---------!
 ! Sole Community Hospital rate !  71-72   !  2  ! X(2)        !DISPLAY  !
 !------------------------------!--------  !-----!-------------!---------!
 ! Change Code for Lugar Reclass!  73      !  1  ! X           !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Temporary Relief Indicator   !  74      !  1  ! X           !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Federal PPS Blend Indicator  !  75      !  1  ! X(01)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Filler                       !  76-80   !  5  ! X(05)       !         !
 !------------------------------!----------!-----!-------------!---------!
 ! Facility Specific Rate       !  81-87   !  7  ! 9(05)V99    !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Cost of Living Adjustment    !  88-91   !  4  ! 9(01)V999   !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Intern-to-Bed Ratio          !  92-96   !  5  ! 9(01)V9999  !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!

 (continues on next page)

























                                    IV-09
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT



 (continued from previous page)

 !-------------------------------------------------------------------------
 !                              !          !     !         COBOL         !
 !           FIELD              !   LOC    !SIZE !---------------------- !
 !                              !          !     !   PICTURE     USAGE   !
 !==============================!==========!=====!=============!=========!
 ! Number of Beds (Bed Size)    !  97-101  !  5  ! 9(05)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Cost to charge ratio (CCR)   !  102-105 !  4  ! 9(01)V9(03) !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Case Mix Index               !  106-110 !  5  ! 9(01)V9999  !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Supplemental Security Income !  111-114 !  4  ! V9(04)      !DISPLAY  !
 ! Ratio (used to derive DSH %) !          !     !             !         !
 !------------------------------!----------!-----!-------------!---------!
 ! Medicaid Ratio               !  115-118 !  4  ! V9(04)      !DISPLAY  !
 !  (used to derive DSH %)      !          !     !             !         !
 !------------------------------!----------!-----!-------------!---------!
 ! PPS Blend Year Indicator     !  119     !  1  ! X(01)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! PRUP Update Factor           !  120-125 !  6  ! 9(01)V9(05) !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! DSH Percent                  !  126-129 !  4  ! V9(04)      !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! FYE DATE   CCYYMMDD          !  130-137 !  8  ! 9(08)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! SPECIAL PAYMENT INDICATOR    !  138     !  1  ! X           !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! HOSPITAL QUALITY INDICATOR   !  139     !  1  ! X           !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! CBSA GEO LOCATION            !  140-144 !  5  ! X(05)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! CBSA RECLASS LOCATON         !  145-149 !  5  ! X(05)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! CBSA STAND LOCATION          !  150-154 !  5  ! X(05)       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! SPECIAL PAY WAGE INDEX       !  155-160 !  6  ! 9(02)V9(04) !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Capital Pass Thru Amount     !  161-166 !  6  ! 9(04)V9(2)  !DISPLAY  !
 !   Per Diem from Cost Report  !          !     !             !         !
 !------------------------------!----------!-----!-------------!---------!
 ! Direct Medical Ed. Pass thru !  167-172 !  6  ! 9(04)V9(02) !DISPLAY  !
 ! Amount Per Diem/Cost Report  !          !     !             !         !
 !------------------------------!----------!-----!-------------!---------!
 ! Organ Acquisition  Pass Thru !  173-178 !  6  ! 9(04)V9(02) !DISPLAY  !
 ! Amount Per Deim/Cost Report  !          !     !             !         !
 !------------------------------!----------!-----!-------------!---------!

  (continues on next page)


                                    IV-10
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT


  (continued from previous page)

 ------------------------------------------------------------------------
 ! Total Pass Thru Amount,      !  179-184 !  6  ! 9(04)V9(02) !DISPLAY  !
 !   Including Miscellaneous    !          !     !             !         !
 !   Per Diem from Cost Report  !          !     !             !         !
 !------------------------------!----------!-----!-------------!---------!
 ! Capital PPS Payment Code     !  185     !  1  !  X(01)      !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Capital Hosp. Specific Rate  !  186-191 !  6  ! 9(4)V99     !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Old Capital Harmless Rate    ! 192-197  !  6  ! 9(4)V99     !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! New Capital Harmless Ratio   ! 198-202  !  5  ! 9(1)V9999   !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Capital Cost to Charge Ratio ! 203-206  !  4  ! 9V999       !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! New Hospital                 ! 207      !  1  ! X           !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Capital IME                  ! 208-212  !  5  ! 9V9999      !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Capital Exceptions           ! 231-218  !  6  ! 9(4)V99     !DISPLAY  !
 !------------------------------!----------!-----!-------------!---------!
 ! Filler                       ! 219-240  ! 22  ! X(22)       !DISPLAY  !
  -----------------------------------------------------------------------
   FIGURE 4.6: LTCAL Call List Argument # 5



























                                    IV-11
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT


BEFORE 07/01/2005

 Interface Supplied MSA Record for option 3
  -------------------------------------------------------------------------
 !                              !         !      !        COBOL            !
 !            FIELD             !   LOC   ! SIZE !--------- -----------    !
 !                              !         !      !  PICTURE      USAGE     !
 !==============================!=========!======!============!=========   !
 ! MSA or Rural Area Code       !  1-4    !   4  ! X(04)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! FILLER                       !   5     !   1  ! X(01)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! Effective Date               !  6-13   !   8  ! X(08)      ! DISPLAY    !
 !     (CCYYMMDD) format)       !         !      !            !            !
 !------------------------------!---------!------!------------!------------!
 ! FILLER                       !   14    !   1  ! X(01)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! Wage Index 1                 !  15-20  !   6  ! 9(02)V9(04)! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! FILLER                       !   21    !   1  ! X(01)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! Wage Index 2                 !  22-27  !   6  ! 9(02)V9(04)! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! FILLER                       !   28    !   1  ! X(01)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! Wage Index 3                 !  29-34  !   6  ! 9(02)V9(04)! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! FILLER                       !   35    !   1  ! X(01)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! CBSA Name                    !  36-79  !  44  ! X(44)      ! DISPLAY    !
 !-------------------------------------------------------------------------!
 ! FILLER                       !   80    !   1  ! X(01)      ! DISPLAY    !
  -------------------------------------------------------------------------

   ** Note:    Data loaded from the MSA table is shown in file # 29.  This is
               the format of the wage index file for each bill & Rural Area.

   FIGURE 4.7A:LTCAL Call  List  Argument #  6  Interface Supplied MSA File

               Required by Option 3.













                                      IV-12

1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT


AFTER 07/01/2005

 Interface Supplied CBSA Record for option 3
  -------------------------------------------------------------------------
 !                              !         !      !        COBOL            !
 !            FIELD             !   LOC   ! SIZE !--------- -----------    !
 !                              !         !      !  PICTURE      USAGE     !
 !==============================!=========!======!============!=========   !
 ! CBSA or Rural Area Code      !  1-5    !   5  ! X(05)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! FILLER                       !  6      !   1  ! X(01)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! Effective Date               !  7-14   !   8  ! X(08)      ! DISPLAY    !
 !     (CCYYMMDD) format)       !         !      !            !            !
 !------------------------------!---------!------!------------!------------!
 ! FILLER                       !  15     !   1  ! X(01)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! Wage Index 1                 !  16-21  !   6  ! 9(02)V9(04)! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! FILLER                       !  22     !   1  ! X(01)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! Wage Index 2                 !  23-28  !   6  ! 9(02)V9(04)! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! FILLER                       !  29     !   1  ! X(01)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! Wage Index 3                 !  30-35  !   6  ! 9(02)V9(04)! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! FILLER                       !  36     !   1  ! X(01)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! CBSA Name                    !  37-75  !  39  ! X(39)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! FILLER                       !  80     !   5  ! X(05)      ! DISPLAY    !
  -------------------------------------------------------------------------

   ** Note:    Data loaded from the  CBSA table is shown in file #  30.  This is
               the format of the wage index file for each bill & Rural Area.

   FIGURE 4.7B:LTCAL Call  List  Argument #  6  Interface Supplied CBSA File

               Required by Option 3.












                                      IV-13
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT


AFTER 07/01/2006

 Interface Supplied IPPS CBSA Record for option 3
  -------------------------------------------------------------------------
 !                              !         !      !        COBOL            !
 !            FIELD             !   LOC   ! SIZE !--------- -----------    !
 !                              !         !      !  PICTURE      USAGE     !
 !==============================!=========!======!============!=========   !
 ! CBSA or Rural Area Code      !  1-5    !   5  ! X(05)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! CBSA Size                    !  6      !   1  ! X(01)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! Effective Date               !  7-14   !   8  ! X(08)      ! DISPLAY    !
 !     (CCYYMMDD) format)       !         !      !            !            !
 !------------------------------!---------!------!------------!------------!
 ! FILLER                       !  15     !   1  ! X(01)      ! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! Wage Index                   !  16-21  !   6  ! 9(02)V9(04)! DISPLAY    !
 !------------------------------!---------!------!------------!------------!
 ! Puerto Rico Wage Index       !  22-27  !   6  ! 9(02)V9(04)! DISPLAY    !
  ------------------------------ --------- ------ ------------ ------------

   ** Note:   Data loaded from the IPPS CBSA table is shown in file #  31. This
              is the format of the wage index file for each bill & Rural Area.

   FIGURE 4.8: LTCAL Call  List  Argument #  7  Interface Supplied IP CBSA File

               Required by Option 3.

























                                      IV-14
1                  FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT



 V.    PRICER ASSURANCE TESTING USING LTMGR130

   V-1.    GENERAL

   It is  the responsibility  of the  user to  assure that  PRICER is  executing
   properly  at the  user's  site.  LTMGR130  is  provided  by  CMS in order  to
   facilitate that testing.

   Instructions for installing  LTMGR130 and loading the  Test Bill and
   Provider Files can be found in Section I.

   LTMGR130 is a batch driver program that performs the following:

   1.  Reads the Test Bill File (the DRG is in the test bill).

   2.  CALLs "LTOPN130" using OPTION 3 to price a bill.

   3.  Prints the results.

   Your test results can be compared to the Expected Test Results report located
   in file #32. You can also build your own test data and submit it to LTMGR130.


   V-2.    USING LTMGR130

       A.  VS/COBOL II AND VS/COBOL
           Using LTMGR130 for batch PRICER testing requires three steps:

           1.  Install PRICER as specified in Section II

           2.  VS/COBOL II  -- Execute LTMGR130 using the test
                files(see  Figure 5.3 of sample JCL).
                              (OR)
           3.  VS/COBOL     -- Execute LTMGR130 using the test
                files (see Figure 5.1 of sample JCL).

           4.  Compare  the printed results to  the Expected Test Results (FILE
               #32)

       If any discrepancies  occur, check  to assure that  the installation  and
       testing instructions were carefully followed.  If so, contact CMS as soon
       as possible.










                                     V-1
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT


   V-3.    TESTING USER SUPPLIED DATA USING LTMGR130

       The  Test Bill File may not  contain all probable billing situations that
       an Intermediary  may encounter.  It is  a sound practice for  the user to
       build their own test data for inclusion in the LTMGR130 test.

       The user will be required to build two test files:

           1.  The Test Bill File (see Figure 5.4)

           2.  The  Test  Provider File  (see  Sect.  IV, Fig.  4.6;  the user's
               Provider Specific File is the best source for this data)









































                                      V-2
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT

 //LTCTEST PROC PREF=
 //TEST    EXEC PGM=LTCTEST
 //STEPLIB  DD DSN=&PREF..LTCTEST.LOAD.LTMGR130,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTDRV130,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTOPN130,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTMGR130,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL123,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL111,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL105,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL103,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL095,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL094,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL091,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL087,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL080,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL075,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL072,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL064,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL063,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL059,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL058,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL043,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL042,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL032,DISP=SHR
 //SYSPRINT DD SYSOUT=A
 //PRTOPER  DD SYSOUT=A
 //SYSOUR   DD SYSOUT=A
 //SYSOUT   DD SYSOUT=A
 //SYSUDUMP DD SYSOUT=A
 //LTCMSAX  DD DISP=SHR,DSN=&PREF..LTCTEST.LTMSA123
 //LTCCBSAX DD DISP=SHR,DSN=&PREF..LTCTEST.LTWIX123
 //IPCCBSAX DD DISP=SHR,DSN=&PREF..LTCTEST.IPWIX123
 //IRFBN1X  DD DISP=SHR,DSN=&PREF..LTCTEST.IRFBN090
 //IRFBN2X  DD DISP=SHR,DSN=&PREF..LTCTEST.IRFBN102
 //IRFBN3X  DD DISP=SHR,DSN=&PREF..LTCTEST.IRFBN105
 //LTCPROV  DD DISP=SHR,DSN=&PREF..LTCTEST.PROV123
 //SYSUT1   DD DISP=OLD,DSN=&PREF..LTCTEST.BILL123
 //SYSUT2   DD DSN=&PREF..LTCTEST.OUT,
 // DISP=(,CATLG,DELETE),UNIT=SYSDA,
 // SPACE=(TRK,(50,5),RLSE),
 // DCB=(RECFM=FB,LRECL=550,BLKSIZE=550)
 // PEND
 //T1       EXEC LTCTEST,PREF='XX.XXXX'

   ** Note:    Supply your own job card and apply your data center's  standards.

 FIGURE 5.1 - Sample JCL to Execute LTMGR130 VS/COBOL


  -----------------------------------------------------------------------
 !                   PRINT IMAGE RESULTS FOR TEST REPORT                 !
  -----------------------------------------------------------------------
 !                              !         !      !         COBOL         !
 !               FIELD          !   LOC   ! SIZE !-----------!---------- !
 !                              !         !      !  PICTURE  !   USAGE   !
 !==============================!=========!======!===========! ========= !
 !  PRINT IMAGE FORMAT          !  1-133  !      !  DISPLAY  !           !
 -------------------------------------------------------------------------

       FIGURE 5.2:  Expected Test Results Format





                                    V-3
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT




 //LTCTEST2 PROC LIB=SYS1.COB2LIB,PREF=
 //COBOL2  EXEC PGM=LTCTEST2
 //STEPLIB  DD DSN=&PREF..LTCTEST.LOAD.LTMGR130,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTOPN130,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTDRV130,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL123,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL111,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL105,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL103,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL095,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL094,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL091,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL087,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL080,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL075,DISP=SHR
 // DD DSN=&PREF..LTCTEST.LOAD.LTCAL072,DISP=SHR
 // DD DSN=&LIB,DISP=SHR
 //SYSPRINT DD SYSOUT=A
 //PRTOPER  DD SYSOUT=A
 //SYSOUR   DD SYSOUT=A
 //SYSOUT   DD SYSOUT=A
 //SYSUDUMP DD SYSOUT=A
 //LTCMSAX  DD DISP=SHR,DSN=&PREF..LTCTEST.LTMSA123
 //LTCCBSAX DD DISP=SHR,DSN=&PREF..LTCTEST.LTWIX123
 //IPCCBSAX DD DISP=SHR,DSN=&PREF..LTCTEST.IPWIX123
 //IRFBN1X  DD DISP=SHR,DSN=&PREF..LTCTEST.IRFBN090
 //IRFBN2X  DD DISP=SHR,DSN=&PREF..LTCTEST.IRFBN102
 //IRFBN3X  DD DISP=SHR,DSN=&PREF..LTCTEST.IRFBN105
 //LTCPROV  DD DISP=SHR,DSN=&PREF..LTCTEST.PROV123
 //SYSUT1   DD DISP=OLD,DSN=&PREF..LTCTEST.BILL123
 //SYSUT2   DD DSN=&PREF..LTCTEST.OUT,
 // DISP=(,CATLG,DELETE),UNIT=SYSDA,
 // SPACE=(TRK,(50,5),RLSE),
 // DCB=(RECFM=FB,LRECL=550,BLKSIZE=550)
 // PEND
 //T1       EXEC LTCTEST2,PREF='XX.XXXX'

   ** Note:    Supply your own job card and apply your data center's  standards.

 FIGURE 5.3 - Sample JCL to Execute LTMGR130 VS/COBOL II















                                     V-4
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT


  -----------------------------------------------------------------------
 !                              !         !      !         COBOL         !
 !               FIELD          !   LOC   ! SIZE !------------!----------!
 !                              !         !      !  PICTURE   !   USAGE  !
 !==============================!=========!======!============!==========!
 !                              !         !      !            !          !
 ! National Provider Identifier !  1- 10  !  10  ! X(10)      ! DISPLAY  !
 !------------------------------!---------!------!------------!----------!
 ! Provider Number              !  11-16  !  6   ! X(06)      ! DISPLAY  !
 !------------------------------!---------!------!------------!----------!
 ! Provider Status Code         !  17-18  !  2   ! 9(02)      ! DISPLAY  !
 !------------------------------!---------!------!------------!----------!
 ! DRG Number (from GROUPER)    !  19-21  !  3   ! 9(03)      ! DISPLAY  !
 !------------------------------!---------!------!------------!----------!
 ! Length of Stay               !  22-24  !  3   ! 9(03)      ! DISPLAY  !
 !------------------------------!---------!------!------------!----------!
 ! Covered Days                 !  25-27  !  3   ! 9(03)      ! DISPLAY  !
 !------------------------------!---------!------!------------!----------!
 ! Lifetime Reserved Days Used  !  28-29  !  2   ! 9(02)      ! DISPLAY  !
 !------------------------------!---------!------!------------!----------!
 ! Discharge Date               !  30-37  !      !            !          !
 !      Discharge Century       !         !  2   ! 9(02)      ! DISPLAY  !
 !      Discharge Year          !         !  2   ! 9(02)      ! DISPLAY  !
 !      Discharge Month         !         !  2   ! 9(02)      ! DISPLAY  !
 !      Discharge Day           !         !  2   ! 9(02)      ! DISPLAY  !
 !------------------------------!---------!------!------------!----------!
 ! Covered Charges              !  38-46  !  9   ! 9(07)V9(02)! DISPLAY  !
 !------------------------------!---------!------!------------!----------!
 ! Special Payment Indicator    !    47   !  1   ! X(01)      ! DISPLAY  !
 !------------------------------!---------!------!------------!----------!
 ! FILLER                       !  48-60  !  13  ! X(13)      ! DISPLAY  !
 !------------------------------!---------!------!------------!----------!

 FIGURE 5.4: Test Bill Data Record Format



















                                    V-5
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT


 5.5   Payment Census Division Composition:

                                             6. West North Central
          1. New England
                                                  16 Iowa
           07 Connecticut                      70,17 Kansas
           20 Maine                               24 Minnesota
           22 Massachusetts                       26 Missouri
           30 New Hampshire                       28 Nebraska
           41 Rhode Island                        35 North Dakota
           47 Vermont                             43 South Dakota


          2. Middle Atlantic                 7. West South Central

        73,39 Pennsylvania                        04 Arkansas
           31 New Jersey                       71,19 Louisiana
           33 New York                            37 Oklahoma
           40 Puerto Rico                   67,74,45 Texas


          3.  South Atlantic                 8. Mountain

           08 Delaware                            03 Arizona
           09 District of Columbia                06 Colorado
     68,69,10 Florida                             13 Idaho
           11 Georgia                             27 Montana
        80,21 Maryland                            29 Nevada
           34 North Carolina                      32 New Mexico
           42 South Carolina                      46 Utah
           49 Virginia                            53 Wyoming
           51 West Virginia


          4. East North Central              9. Pacific

           14 Illinois                            02 Alaska
           15 Indiana                          55,05 California
           23 Michigan                            12 Hawaii
        72,36 Ohio                                38 Oregon
           52 Wisconsin                           50 Washington


          5. East South Central           OUTSIDE US.

           01 Alabama                             56 Canada
           18 Kentucky                            59 Mexico
           25 Mississippi                         64 American Samoa
           44 Tennessee                           65 Guam
                                                  66 Commonwealth of the
                                                      Northern Marianas Islands


                                     V-6
1              FILE # 2 LTCH PRICER INSTALLATION GUIDE DOCUMENT


 5.6   Regional Consortia Composition:

  NORTHEAST CONSORTIUM
  -------------------------------------------------------------------------
  REGION 1:               REGION 2:               REGION 3:
  ----------------------  ----------------------  -------------------------
  07 Connecticut          31 New Jersey           08 Delaware
  20 Maine                33 New York             09 District of Columbia
  22 Massachusetts        40 Puerto Rico          21 Maryland
  30 New Hampshire        48 Virgin Islands       39 Pennsylvania
  41 Rhode Island                                 49 Virginia
  47 Vermont                                      51 West Virginia


  SOUTHERN CONSORTIUM
0 -------------------------------------------------------------------------
  REGION 4:               REGION 6:
  ----------------------  ----------------------
  01 Alabama              04 Arkansas
  10 Florida              19 Louisiana
  11 Georgia              32 New Mexico
  18 Kentucky             37 Oklahoma
  25 Mississippi          45 Texas
  34 North Carolina
  42 South Carolina
  44 Tennessee


  MIDWEST CONSORTIUM
  -------------------------------------------------------------------------
  REGION 5:               REGION 7:
  ----------------------  ----------------------
  14 Illinois             16 Iowa
  15 Indiana              17 Kansas
  23 Michigan             26 Missouri
  24 Minnesota            28 Nebraska
  36 Ohio
  52 Wisconsin


  WESTERN CONSORTIUM
  -------------------------------------------------------------------------
  REGION 8:               REGION 9:               REGION 10:
  ----------------------  ----------------------  -------------------------
  06 Colorado             03 Arizona              02 Alaska
  27 Montana              05 California           13 Idaho
  35 North Dakota         12 Hawaii               38 Oregon
  43 South Dakota         29 Nevada               50 Washington
  46 Utah                 65 Guam
  53 Wyoming

  Note: To see all state codes for a given state, see Figure 5.5.

                                    V-7
