CMS Manual System

CMS Manual System Department of Health & Human Services (DHHS) Pub 100-20 One-Time Notification Centers for Medicare & Medicaid Services (CMS) Transmittal 11243 Date: January 27, 2022 Change Request 12590 SUBJECT: Method of Payment and Cost Settlement for Inpatient Services for Hospitals Participating under the Rural Community Hospital Demonstration I. SUMMARY OF CHANGES: This memorandum provides the payment methodology for Round 4 of the demonstration, the list of participating hospitals, the periods of performance for all hospitals, the methodology for establishing enhanced interim payments and conducting final cost report settlements, and requirements for the MACs with regard to collaborating with a separate audit contractor. EFFECTIVE DATE: May 1, 2020 *Unless otherwise specified, the effective date is the date of service. IMPLEMENTATION DATE: March 29, 2022 Disclaimer for Manual changes only: The revision date and transmittal number apply only to red italicized material.

value-based incentive payment adjustment) to the payment amount for inpatient hospital services determined according to the cost-based payment methodology for the demonstration under items a) through f) above. This adjustment, applicable to the specific cost report period, will occur at cost report settlement.

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  System, Incentives, Payments, Incentive payment

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