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CMS Ruling Change Request

The Centers for Medicare & Medicaid Services (CMS) request that Medicare Administrative Contractors (MACs) inform hospitals regarding a Change Request (CR) on CMS Ruling 1498-R issued April 28, 2010. CMS Ruling 1498-R covers administrative appeals on the Medicare-Supplemental Security Income (SSI) fraction data matching process issue, issues around non-covered inpatient hospital days for Medicare Part A beneficiaries, and exclusion from the DSH calculation of labor/delivery room (LDR) inpatient days. Contractors shall post related instructions on their web sites.

Full Transmittal:

Subject: Instructions to Hospitals on the Election of a Medicare-Supplemental Security Income (SSI) Component of the Disproportionate Share (DSH) Payment Adjustment for Cost Reports that Involve SSI Ratios for Fiscal Year (FY) 2004 and earlier, or SSI Ratios for Hospital Cost-reporting Periods for Patient Discharges Occurring before October 1, 2004

Number: 1776

Title: Change Request 9896

Release Date: Jan. 27, 2017

Effective Date: Jan. 19, 2017

Implementation Date: Jan. 19, 2017

Special Notes: Transmittal 279, dated December 16, 2016, is being rescinded and replaced by Transmittal 1776, dated, January 27, 2017 to correct one of the items required to be reported by the provider in its election request; i.e., FFY Based on CY Begin Date (YYYY) should be FFY Based on CR Begin Date. In addition, a clarifying phrase was added to the third paragraph under the "Realignment" section of the CR. Also, this CR has been changed from a Pub. 100-06 to a Pub. 100-20. All other information remains the same.


  • Post author
    Lacy Gaskins

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