==============================================================
MU00.@BFN2699.LTNDM162
========================================================================

NOTE TO: Shared System Coordinators, MEDICARE Coordinators

SUBJECT: Long-term Care Hospital (LTCH) Prospective Payment System (PPS)
         Pricer Release, Version 20162
(January 28, 2016)  --ACTION--refer to CMS change requests 9527 & 9300.

This LTCH Pricer release is the production version for the April 2016
FY 2016 release.

It includes the following changes/additions:

- LTCAL162    ** Replaces LTCAL161 **

  CONTAINS THE FOLLOWING UPDATES:

 - HIGH COST OUTLIER FIXED-LOSS AMOUNTS
   - SITE NEUTRAL RATE CASES:
     - FOR DISCHARGES FROM 10/1/2015 - 12/31/2015: $22,539
     - FOR DISCHARGES FROM 1/1/2016 - 9/30/2016: $22,538

 - SSO AND SITE NEUTRAL RATE PAYMENTS IPPS RATES/FACTORS:
   - DISCHARGES FROM 10/1/2015 - 12/31/2015
     - NO UPDATES
   - DISCHARGES FROM 1/1/2016 - 9/30/2016
     - IPPS LABOR SHARE WAGE INDEX > 1: $3,805.40
     - IPPS NONLABOR SHARE WAGE INDEX > 1: $1,662.13
     - IPPS LABOR SHARE WAGE INDEX < /= 1: $3,389.87
     - IPPS NONLABOR SHARE WAGE INDEX < /= 1: $2,077.66
     - PUERTO RICO LABOR SHARE WAGE INDEX > 1: N/A
     - PUERTO RICO NONLABOR SHARE WAGE INDEX > 1: N/A

 - LOGIC CHANGE FOR IPPS COMPARABLE AMOUNT CALCULATION
   (USED FOR SSO AND SITE NEUTRAL RATE PAYMENTS) FOR PUERTO
   RICO HOSPITALS
    - PUERTO RICO BLEND PERCENTAGES FOR OPERATING IPPS
      PAYMENTS CHANGING FROM 75% NATIONAL/25% PUERTO RICO
      TO 100 NATIONAL/0% PUERTO RICO FOR DISCHARGES
      ON OR AFTER JANUARY 1, 2016.
    - PUERTO RICO BLEND PERCENTAGES FOR CAPITAL IPPS
      PAYMENTS REMAIN 75% NATIONAL/25% PUERTO RICO FOR
      DISCHARGES ON/AFTER JANUARY 1, 2016 THROUGH
      SEPTEMBER 30, 2016.

 - ADDED STATE CODE 84 FOR PUERTO RICO


  - LTDRV162    ** Replaces LTDRV161 **
    - CALL to LTCAL162 module


************************************************

A partitioned data set (PDS) of the Version 20162 code
(MU00.@BFN2699.LTNDM162) is at the CMS Data Center for users
to obtain by Connect:Direct (Network DataMover).

The 60 members listed below comprise the Pricer, but only the modules
that changed or are new since the previous release are included in the
PDS.  The changed and new members should be used in conjunction with
the current production Pricer files.

      NAME
      --------
      BLEND152
      IPDRG063
      IPDRG071
      IPDRG080
      IPDRG090
      IPDRG104
      IPDRG110
      IPDRG123
      IPDRG130
      IPDRG141
      IPDRG152
      IPDRG160
      IPWIX160
      IRFBN091
      IRFBN102
      IRFBN105
      LTCAL032
      LTCAL042
      LTCAL043
      LTCAL058
      LTCAL059
      LTCAL063
      LTCAL064
      LTCAL072
      LTCAL075
      LTCAL080
      LTCAL087
      LTCAL091
      LTCAL094
      LTCAL095
      LTCAL103
      LTCAL105
      LTCAL111
      LTCAL123
      LTCAL130
      LTCAL141
      LTCAL152
      LTCAL154
      LTCAL162
      LTDRG031
      LTDRG041
      LTDRG057
      LTDRG062
      LTDRG075
      LTDRG080
      LTDRG086
      LTDRG093
      LTDRG095
      LTDRG100
      LTDRG110
      LTDRG123
      LTDRG130
      LTDRG141
      LTDRG152
      LTDRG160
      LTDRV162
      LTMSA152
      LTWIX160
      MANIFEST
      README

