or After 1/1/2004 or After 11/29/2004 or After 12/1/2005 After 12/1/2006 Title 42, Code of Federal Regulations, §412.2 Effective October 1, 2003 Title 42, Code of Federal Regulations, §412.23(e) Effective date October 1, 2002 and revised as of October 1, 2003 Title 42, Code of Federal Regulations, §412.23(f) Effective October 1, 2002 and revised as of October 1, 2003 Title 42, Code of Federal Regulations Section 412.64 Effective October 1, 2004 Title 42, Code of Federal Regulations Section 412.87 Effective September 7, 2001 and revised as of October 1, 2003 Amended; effective October 1, 2004 Title 42, Code of Federal Regulations Section 412.88 Effective September 7, 2001 and amended August 1, 2002 and August 1, 2003 and revised as of October 1, 2003 Amended; effective October 1, 2004 Title 42, Code of Federal Regulations §412.92(a) Effective October 1, 2002 and revised as of October 1, 2003 Amended; effective October 1, 2005 Title 42, Code Effective Amended;
Post-acute care transfer to a rehabilitation hospital or unit or long-term hospital qualifying DRGs DRGs 12, 14, 24, 25, 89, 90, 113, 121, 122, 130, 131, 236, 239, 243, 263, 264, 277, 278, 296, 297, 320, 321, 429, 462, 483, or 468 (A) beginning at page 45413 DRGs 12, 14, 24, 25, 88, 89, 90, 113, 121, 122, 127, 130, 131, 236, 239, 277, 278, 294, 296, 297, 320, 321, 395, 429, 468, 541 or 542 (B) beginning at page 60246 DRGs designated with a “yes” in “FY06 Final Rule Post-acute Care DRG” column in Table 5 (A) beginning at page 47617 and (B) beginning at page 57163 Post-acute care transfer qualifying DRGs DRGs 209, 210 or 211 (A) beginning at page 45413 DRGs 7, 8, 210, 211, 233, 234, 471, 497, 498, 544, 545, 549, or 550 (A) beginning at page 47617 and (B) beginning at page 57163
beginning at page 44126 Beginning at page 50547 https://www.cms.gov/ AcuteInpatientPPS/ (c) Payment Impact File by Date of Discharge (1) The Payment Impact File can be accessed at: and the referenced sections are incorporated by reference and will be made available upon request to the Administrative Director. Discharges Occurring On or After 1/1/2004 Discharges Occurring On or After 11/29/2004 Discharges Occurring On or After 12/1/2005 Discharges Occurring On or After 12/1/2006 Applicable Payment Impact File (PIF) FY2004 Final Rule Impact File FY2005 Final Rule Impact File FY2006 Final Rule Impact File FY2007 Final Rule Impact File Capital geographic adjustment factor PIF: Capital Wage Index PIF:POST RECLASS GAF PIF:WICGRN PIF:Post Reclass GAF_a (for first half FY 2007) and Post Reclass GAF_b (for capital second half FY 2007) Large Urban PIF: Urban/Rural location PIF: Standardized payment location PIF:URSPA PIF:URSPA Capital Disproportionate Share Adjustment Factor PIF: Capital Disproportionate Share Adjustment location (DSHCPG) PIF: Capital Disproportionate Share (DSH) Adjustment location (CAPITAL DSH ADJ.) PIF: Capital Disproportionate Share (DSH) Adjustment location (DSHCPG) PIF: Capital Disproportionate Share (DSH) Adjustment location (DSHCPG) Capital Indirect Medical Education Adjustment Factor PIF: Capital IME Adjustment location (TCHCP) PIF: IME adjustment factor for capital PPS location (IME PIF: IME adjustment factor for capital PPS location (TCHCP) PIF: IME adjustment factor for capital PPS location (TCHCP)
Operating Wage Index Tables 4A-4C beginning on (A) page 57736; PIF: Operating Wage Index location (WIGRN) Tables 4A1 on (C) page 78619; PIF: Final Wage Index location (WIGRN) Tables 4A-4C beginning on (A) page 47580 as corrected by Tables 4A -4C beginning on (B) page 57163; PIF: Post Reclass Wage Index location Tables 4A-1 - 4C-1 (for discharges before 4/1/2007) and Tables (for discharges occurring on or after 4/1/2007 ) beginning on (B) page 59975; PIF: Post Reclass Wage Index_a (for first half FY 2007) and Post Reclass Wage Index_b (for second half FY 2007) Operating Disproportionate Share Adjustment Factor PIF: Operating DSH Adjustment Factor location (DSHOPG) PIF: Operating Disproportionate Share (DSH) Adjustment Factor location (OPERATING DSH ADJ.) PIF: Operating Disproportionate Share (DSH) Adjustment Factor location (DSHOPG) PIF: Operating Disproportionate Share (DSH) Adjustment Factor location (DSHOPG) Operating Indirect Medical Education Adjustment PIF: Operating IME Adjustment location (TCHOP) PIF: IME Adjustment Factor for Operating PPS location (IME ADJUSTMENT OPERATING) PIF: IME Adjustment Factor for Operating PPS location (TCHOP) PIF: IME Adjustment Factor for Operating PPS location (TCHOP) Sole Community Hospital – Hospital Specific Rate PIF: PIF: Sole Community Hospital Cost/Case 1982/1987 and Sole Community Hospital Cost/Case 1996 locations PIF: 82/87 Hospital Specific Rate Updated to FY 2006 (OLDHSPPS) and 1996 Hospital Specific Rate Updated to FY 2006 (HSP96) locations PIF: 82/87/96 Hospital Specific Rate Updated to FY 2007 for SCH Providers location (HSP Rate)
Cost-to-Charge Ratio PIF: Operating Ratio location (OPCCR) and Capital location (CPCCR) PIF: Operating Cost-to-Charge Ratio location (OPCCR) and Capital location (CPCCR) PIF: Operating Cost-to-Charge Ratio location (OPCCR) and Capital location (CPCCR)
Sole Community Hospital – Hospital Specific Rate PIF: 82/87/96 Hospital Specific Rate Updated to FY 2008 for SCH Providers location (HSP Rate) PIF: 82/87/96 Hospital Specific Payment (HSP) Rate Updated to FY 2009 for SCH Providers location (HSP Rate) PIF: 82/87/96 /06 Hospital Specific Payment (HSP) Rate Updated to FY 2010 for SCH Providers location (FY10HSP Rate) PIF: 82/87/96/06 Hospital Specific Payment (HSP) Rate Updated to FY2011 for SCH Providers location (FY11 HSP Rate) Cost-to-Charge Ratio PIF: Operating Cost-to-Charge Ratio location (OPCCR) and Capital location (CPCCR) PIF: Operating Ratio location (Operating CCR) and Capital Cost-to-Charge location (Capital CCR) PIF: Operating Cost-to-Charge Ratio location (Operating CCR) and Capital location (Capital CCR) PIF: Operating Cost-to-Charge Ratio location (Operating CCR) and Capital location (Capital CCR) Discharges Occurring On or After 12/01/2011 Applicable Payment Impact File (PIF) FY 2012 Final Rule-IPPS Impact File Capital Geographic Adjustment Factor FY 2012 GAF Capital Disproportionate Share Adjustment Factor PIF: Capital Disproportionate Share (DSH) adjustment location (DSHCPG) Capital Indirect Medical Education Adjustment Factor PIF: IME adjustment factor for capital PPS location (TCHCP) Operating Wage Index Tables 4A-C at https://www.cms.gov/ AcuteInpatientPPS/01 _overview.asp;PIF: FY 2012 Wage Index
Location Operating Disproportionate Share Adjustment Factor PIF: Operating Disproportionate Share (DSH) Adjustment Factor location (DSHOPG) Operating Indirect Medical Education Adjustment PIF: IME Adjustment Factor for Operating PPS location (TCHOP) Sole Community Hospital – Hospital Specific Rate PIF: 82/87/96/06 Hospital Specific Payment (HSP) Rate Updated to FY2012 for SCH Providers location (FY12 HSP Rate) Cost-to-Charge Ratio PIF: Operating Cost-to-Charge Ratio location (Operating CCR) and Capital location (Capital CCR) Authority: Sections 133, 4603.5, 5307.1, 5307.3, and 5318, Labor Code. Reference: Sections 4600, 4603.2, 5307.1, and 5318, Labor Code.