Many long-term care hospitals (LTCHs)
are co-located with other Medicare providers (acute care hospitals,
IRFs, SNFs, psychiatric facilities), which leads to potential
gaming of the Medicare system based on patient shifting. CMS is
requiring LTCHs to notify fiscal intermediaries K (FIs), Medicare
Administrative Contractors (MACs) and CMS of co-located providers
in order to establish policies to limit payment abuse that will be
based on FIs tracking patient movement among these co-located
providers.
The 5-year phase in of the LTCH
PPS are no longer relevant since the policy, governed by our
regulations at 42 CFR 412.533, is no longer in effect.
Specifically, when we implemented the LTCH PPS for cost reporting
periods beginning on or after October 1, 2003, under the authority
of section 307(b) of the Balanced Budget Refinement Act, we
provided a 5-year phase in to full payments under the Federal
payment rates calculated under the LTCH PPS. For each of those 5
years, as we lowered the percentage of payments based upon the Tax
Equity and Fiscal Responsibility Act system 20 percent, we
increased the payments based upon the PPS Federal payment rate by
20 percent so that for cost reporting periods beginning on or after
October 1, 2006, 100 percent of payments under the LTCH PPS were
based on the Federal payment rate. Since there is no longer any
transition policy, we can retire the information collection
requirement section of CMS-10088 regarding this policy. Therefore,
the number of responses decreased by 94, which is the number of
LTCHs that were expected to respond under the previous policy. A
further decrease of 75 responses is expected due to policies
developed since the last collection in 2007 discouraging the
development of large numbers of co-located LTCHs. As a result of
these changes, the total number of respondents has decreased from
194 to 25.
$0
No
No
No
Uncollected
No
Uncollected
Bonnie Harkless
4107865666
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
CMS-10088_Supporting_Statement_revised_12-91 (3).doc
Notification of FIs and CMS of co-located Medicare providers and Supporting Regulations in 42 CFR 412.22 and 412.533. (CMS-10088)