[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR412.107]



[Page 523]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 412_PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES

--Table of Contents

 

Subpart G_Special Treatment of Certain Facilities Under the Prospective 

              Payment System for Inpatient Operating Costs

 

Sec. 412.107  Special treatment: Hospitals that receive an additional 

update for FYs 1998 and 1999.



    (a) Additional payment update. A hospital that meets the criteria 

set forth in paragraph (b) of this section receives the following 

increase to its applicable percentage amount set forth in Sec. 412.63 

(p) and (q):

    (1) For FY 1998, 0.5 percent.

    (2) For FY 1999, 0.3 percent.

    (b) Criteria for classification. A hospital is eligible for the 

additional payment update set forth in paragraph (a) of this section if 

it meets all of the following criteria:

    (1) Definition. The hospital is not a Medicare-dependent, small 

rural hospital as defined in Sec. 412.108(a) and does not receive any 

additional payment under the following provisions:

    (i) The indirect medical education adjustment made under Sec. 

412.105.

    (ii) The disproportionate share adjustment made under Sec. 412.106.

    (2) State criteria. The hospital is located in a State in which the 

aggregate payment made under Sec. 412.112 (a) and (c) for hospitals 

described in paragraph (b)(1) of this section for their cost reporting 

periods beginning in FY 1995 is less than the allowable operating costs 

described in Sec. 412.2(c) for those hospitals.

    (3) Hospital criteria. The aggregate payment made to the hospital 

under Sec. 412.112 (a) and (c) for the hospital's cost reporting period 

beginning in the fiscal year in which the additional payment update 

described in paragraph (a) of this section is made is less than the 

allowable operating cost described in Sec. 412.2(c) for that hospital.



[62 FR 46030, Aug. 29, 1997]