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Public Law 108-490
Public Law 108-490
passed by Congress and signed by the President on December 23, 2004 amends
Section 340E of the Public Health Service Act which authorizes the Children’s
Hospitals Graduate Medical Education Payment Program (CHGME PP). The amendment modifies program rules regarding
the determination of payments for indirect medical expenses associated
with operating approved medical residency training programs and applies
to payments for periods beginning with fiscal year (FY) 2005. The amendment requires the exclusion of healthy
newborns from the calculation of the case mix index and the exclusion
of beds and bassinets assigned to healthy newborns from the available
bed counts. Since Public Law 108-490
is effective for payments for periods beginning with fiscal year 2005,
these changes should be reflected in the hospitals’ reconciliation
application for FY 2005 which will be used by the Secretary for final
payment determination. Specifically, for the FY 2005 reconciliation
application, on HRSA form 99-2,
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Participating
hospitals that included healthy newborns in their computation of the
case mix index would have to re-compute the case mix index
(line 1.04) after excluding
healthy newborns
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Participating
hospitals should exclude from the reported available bed count (lines
1.06 and 1.10), beds or bassinets assigned to healthy newborns.
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