Medicare Geographic Classification Review Board

The Medicare Geographic Classification Review Board ("MGCRB" or "Board") makes determinations on geographic reclassification requests of hospitals who are receiving payment under the inpatient prospective payment system ("IPPS") but wish to reclassify to a higher wage area for purposes of receiving a higher payment rate.  See 42 U.S.C. § 1395ww(d)(10) and 42 C.F.R. § 412.230.

Note that the MGCRB requires applications, supporting documents, and subsequent correspondence to be filed electronically through the Office of Hearings Case and Document Management System (“OH CDMS”).  Reference for registration instructions and the system user manual.  For any system or access questions, please contact the OH CDMS Help Desk at 1-833-783-8255 or


Alternative Option for Submitting Requests for Administrator Review

The MGCRB released its hearing decisions on February 11, 2021.  As noted in those decision letters, the decisions may be appealed to the Administrator of the Centers for Medicare & Medicaid Services.  As an alternative option for submitting requests for Administrator review to the standard mailing address set forth in the letter, hospitals may also submit appeal requests via email to the Office of the Attorney Advisor at:

 with a cc: to

The Provider must also submit a copy of its request for review to CMS's Hospital and Ambulatory Policy Group via email at:

Please refer to 42 C.F.R. § 412.278 for details on Administrator review.


Page Last Modified:
02/12/2021 07:04 PM