Critical Access Hospital (CAH) Optional Method Election for Outpatient Services
Prior to the regulation change made in the fiscal year (FY) 2011 Inpatient Prospective Payment System (IPPS) final rule, if a CAH chose to be paid under the optional method it was required to make its election on an annual basis. However, in the FY 2011 IPPS final rule, we changed the regulations for the optional method election such that effective for cost reporting periods beginning on or after October 1, 2010 if a CAH elected the optional method in its most recent cost reporting period beginning before October 1, 2010 or chooses to elect the optional method on or after October 1, 2010, that election remains in place until the CAH submits a termination request to its FI or A/B MAC.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 27, 2011
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