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42 C.F.R. 42 CFR--PART 412

Title 42 - Public Health

Amendment from August 18, 2006

42 CFR--PART 412

View Printed Federal Register page 71 FR 48138 in PDF format.

Amendment(s) published August 18, 2006, in 71 FR 48138

Effective Date(s): October 1, 2006

17. Section 412.96 is amended by—

a. Revising paragraph (c)(2)(i) introductory text.

b. Revising paragraph (c)(2)(ii).

c. Revising paragraph (i)(3).

The revisions read as follows:

§ 412.96   Special Treatment: Referral centers.

                   *                 *                 *                 *                 *

(c)  *  *  *

(2) Number of discharges. (i) CMS sets forth the national and regional number of discharges in each year's annual notice of prospective payment rates published under §412.8(b). The methodology CMS uses to calculate these criteria is described in paragraph (i) of this section. Except as provided in paragraph (c)(2)(ii) of this section for an osteopathic hospital, for the hospital's cost reporting period that began during the same fiscal year as the cost reporting periods used to compute the regional median discharges under paragraph (i) of this section, its number of discharges (not including discharges from units excluded from the prospective payments system under subpart B of this part or from newborn units) is at least equal to—

                   *                 *                 *                 *                 *

(ii) For cost reporting periods beginning on or after January 1, 1986, an osteopathic hospital, recognized by the American Osteopathic Healthcare Association (or any successor organization), that is located in a rural area must have at least 3,000 discharges during its cost reporting period that began during the same fiscal year as the cost reporting periods used to compute the regional median discharges under paragraph (i) of this section to meet the number of discharges criterion.

                   *                 *                 *                 *                 *

(i)  *  *  *

(3) Annual notice. CMS sets forth the national and regional criteria in the annual notice of prospective payment rates published under §412.8(b). These criteria are compared to an applying hospital's number of discharges for the same cost reporting period used to develop the regional criteria in this section in determining if the hospital qualifies for referral center status for cost reporting periods beginning on or after October 1 of the Federal fiscal year to which the notice applies.