CMS Sets June 4 Deadline
for Resident Limit Redistribution Program
May 7, 2004 - The Centers for Medicare and Medicaid
Services (CMS) April 30 published a "One-Time
Notification" (OTN) providing instructions to Medicare
fiscal intermediaries (FIs) concerning implementation of a
portion of section 422 of the Medicare Modernization Act (MMA)
entitled "Redistribution of Unused Residency Positions."
This provision will reduce the Medicare resident caps for
those hospitals whose resident counts are below their cap
and "redistribute" those unused cap positions to
hospitals seeking to increase their caps.
The MMA provided that hospitals at risk of cap reductions
can apply for an exception so that a more current resident
count is used for the cap comparison. The April 30 OTN focuses
on the details of this exception process. Importantly, the
OTN specifies that hospitals wishing to use a resident count
from a more current cost reporting period (specifically, one
that includes July 1, 2003) must file a request by June 4,
2004.
The OTN notes that the upcoming hospital inpatient prospective
payment system proposed rule will contain more information
on this program, including the application process and criteria
that CMS will use in determining which hospitals will receive
additional cap slots.
Information:
Karen Fisher, Sr. Director, Health Care Affairs
AAMC Health Care Affairs
kfisher@aamc.org
(202) 862-6140
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