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The FY 2009 reconciliation
application is now available (online). Additional details provided
below.
| FY 2009 Reconciliation Application is a Web Based Application |
As you are aware, the Children’s Hospitals Graduate Medical Education
(CHGME) Payment Program created a new web system to apply and process
your applications for funds. The reconciliation application process
went so well and was completed almost two weeks earlier than in
the past. The CHGME is very excited to continue using this system.
- Log
on with existing ID and password
- If your password is expired, go to the Administration page
and re-set it. If you need help or want the CHGME to do it, contact
your regional manager.
- To avoid issues with passwords and the pop ups within the system,
include the CHGME web application site as a trusted site and remove
your pop up blocker on your internet browser while working in
the application system.
- Please remember to save your work before navigating
to any other page within the application.
- Please send the HRSA 99, 99-3 (with original signatures), and
supporting documentation to Shirley Linney within the CHGME Payment
Program. As in past cycles, the HRSA 99 and HRSA 99-3, along
with all required documentation, and the completed web application
must be “postmarked” no later than August 1, 2008.
- For new users, contact the CHGME Database Administrator, Jill
Schmid, for further instructions.
- The calculator is “on”. If you need to override a calculated
field, the calculator may be turned off.
| Review of the Guidelines on Completing the Initial Application |
“Interim payments to each hospital shall be based
on the number of residents reported in the hospitals most recently
filed Medicare Cost Report (MCR). Any hospital that does not report
residents on a MCR, payments will be based on the number of residents
trained during the hospital’s most recently completed MCR filing
period.” P.L. 106-310, October 17, 2000.”
- For hospitals filing full MCR, if the fully filed MCR is settled
by Medicare before the initial application due date, FTE resident
counts from the settled or re-settled MCR have to be used.
- For hospitals filing full MCRs, if the MCR is not settled or
re-settled, the FTE resident counts from the CHGME FI FTE final
report or the “As Filed (AF)” MCR reports have to be used.
- For hospitals filing low/no utilization MCRs, the FTE resident
counts should match the CHGME FI FTE resident count from the latest
assessment or the most recently completed MCR
As you are aware, on October 6, 2006, the President signed
the Children’s Hospital Graduate Medical Education (CHGME) Support
Reauthorization Act of 2006 (herein after “the Act”) which amended
Section 340E of the Public Health Service Act. The Act requires
the program to update the wage index (WI) annually, as applied under
section 1886(d)(3)(E) of the Social Security Act, in its determination
of payments using the Centers for Medicare and Medicaid Services
(CMS) published WI for the preceding year. For FY 2009, the
CHGME Payment Program has reviewed CMS’ August 22, 2007 Federal
Register. You will receive a notice mid July with your new wage
index for signature and will be requested to fax or “pdf” that form
back to the CHGME Payment Program.
Children's hospitals requesting funding for the FY 2009 application
cycle, must submit a case mix index (CMI) based on the discharges
from the most recently filed MCR for hospitals that file full MCRs
or the most recently completed MCR period for hospitals that file
low or no-utilization MCRs, using CMS-DRG Version 24 with
the appropriate CMS Version 24 weights reported to the ten-thousandth
decimal place.
As always, if additional information or assistance is needed, please
contact your CHGME PP designated regional manager:
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