|
Supplemental Security Income (SSI) Data File For purposes of the payment adjustment for short-stay outlier (SSO) cases, effective for LTCH PPS discharges occurring on or after July 1, 2006 ( §412.529(c)(2) and (c)(3)), the Supplemental Security Income (SSI) data file below indicates the latest available LTCH-specific SSI data to be used for a specified rate year (RY). (See the "downloads" section below for the file.) A LTCH may use this ratio to estimate an "amount comparable to the hospital inpatient prospective payment system per diem amount" that may include, where applicable, an adjustment for the costs of serving a disproportionate share of low income patients (§412.529(d)(4)). Typically, the file will be updated annually (usually each May/June) for the upcoming RY (beginning July 1st). (Please note that annual impact files for the respective RY proposed and final rules may reflect earlier SSI data used to estimate the "amount comparable to the hospital inpatient prospective payment system per diem amount" under the SSO policy for rate-setting purposes. The annual impact file developed for each proposed and final rules are created from the latest available data at the time the respective rule is published, and the SSI data in the impact file may differ from the file provided below.) List of Long-Term Care Hospitals This file contains a listing of LTCHs from CMS's Online Survey Certification and Reporting (OSCAR) System, including each LTCH's 6-digit provider number, name, address, and participation date. This file is updated at least twice a year (usually January and May) with the publication of the annual proposed and final rules. (See the "downloads" section below for the file.) LTCH Labor Market Area Definitions This file is a crosswalk by county from the former Metropolitan Statistical Area (MSA) definitions (adopted upon the implementation of the LTCH PPS) to the revised MSAs (under the Core Based Statistical Area (CBSA) definitions adopted under the LTCH PPS effective July 1, 2005). (See the "downloads" section below for the file. This file includes a record description.) Short-Stay Outlier Payment Example This file contains two examples that illustrate the computation of the adjusted payment for short-stay outlier (SSO) cases effective for LTCH PPS discharges occurring on or after July 1, 2006 (established in the RY 2007 final rule) versus the SSO payment adjustment effective for discharges occurring on or after July 1,2007 and on or before December 28, 2007 (originally established in the RY 2008 final rule, as amended consistent with section 114(c)(3) of Public Law 110-173) under §412.529(c). (See the "downloads" section below for the file.)
Page Last Modified: 08/28/2008 8:57:27 AM
Help with File Formats and Plug-Ins
Submit Feedback
|
Email
Print