The Centers for Medicare & Medicaid Services (CMS) has recently become aware of an error in the calculation for the outmigration adjustment in the May 5, 2011, Inpatient Prospective Payment System (IPPS) proposed rule. This error in the calculation affects 104 providers that will now be eligible to receive the outmigration adjustment. Since these changes could affect hospitals' geographic reclassification decisions, it is important for hospitals to be notified of the changes to Tables 2 and 4J of the FY 2012 IPPS/LTCH PPS proposed rule. A correction notice will be published. Hospitals can download the letter and revised tables below for more information.

In addition, under our authority in section 1886(d)(10)(D)(v) to establish procedures under which a subsection (d) hospital may elect to terminate a reclassification, we are creating a special procedural rule, limited to FY 2012. Under this procedural rule, we will extend the 45-day deadline of Section412.273 (referenced at 75 FR 25881) for hospitals to terminate or withdraw 1886(d)(10) reclassifications as well as the 45-day deadline (referenced at 75 FR 25887) for a hospital to receive the out-migration adjustment rather than their section 1886(d)(8)(B) redesignation. We will allow hospitals a 7-day period from the date of display of the Federal Register Correction Notice in which hospitals may choose to revise the withdrawal/termination decisions referenced above for FY 2012. The Correction Notice is posted on the CMS Web site at FY 2012 IPPS Proposed Rule Home Page .