1. LawStack
  2. Title 42 - Public Health
  3. Chapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  4. Subchapter B - MEDICARE PROGRAM
  5. Part 412 - PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES
  6. Subpart M - Prospective Payment System for Inpatient Hospital Capital Costs
  7. Topic - Determination of Transition Period Payment Rates for Capital-Related Costs
  8. 42 CFR § 412.340
42 CFR § 412.340
Fully prospective payment methodology
June 11, 2020
CFR

A hospital paid under the fully prospective payment methodology receives a payment per discharge based on a proportion of the hospital-specific rate and the Federal rate as follows:

Open Table
Cost reporting periods beginning on or after: Federal rate percentage Hospital-specific rate percentage
October 1, 1991 10 90
October 1, 1992 20 80
October 1, 1993 30 70
October 1, 1994 40 60
October 1, 1995 50 50
October 1, 1996 60 40
October 1, 1997 70 30
October 1, 1998 80 20
October 1, 1999 90 10
October 1, 2000 100 0
Previous
§ 412.336 Transition period payment methodologies
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§ 412.344 Hold-harmless payment methodology

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