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 48139 in PDF format.

Amendment(s) published August 18, 2006, in 71 FR 48139


Effective Date(s): October 1, 2006

19. Section 412.106 is amended by—

a. Revising paragraph (a)(1)(iii).

b. Republishing the introductory text of paragraph (d)(2)(iv).

c. Revising paragraph (d)(2)(iv)(C)(3).

d. Adding a new paragraph (d)(2)(iv)(D).

e. Adding a new paragraph (d)(2)(v).

The revision and additions read as follows:

§ 412.106   Special treatment: Hospitals that serve a disproportionate share of low-income patients.

(a)  *  *  *

(1)  *  *  *

(iii) The hospital's location, in an urban or rural area, is determined in accordance with the definitions in §412.64, except that a reclassification that results from an urban hospital reclassified as rural as set forth in §412.103 is classified as rural.

                   *                 *                 *                 *                 *

(d)  *  *  *

(2)  *  *  *

(iv) If the hospital meets the criteria of paragraph (c)(1)(iv) of this section—

                   *                 *                 *                 *                 *

(C)  *  *  *

(3) Except as provided in paragraph (d)(2)(iv)(D) of this section, the maximum payment adjustment factor is 12 percent.

(D) Effective for discharges occurring on or after October 1, 2006, for a hospital that is classified as a Medicare-dependent, small rural hospital under §412.108, the payment adjustment factor limitation specified in paragraph (d)(2)(iv)(C)(3) does not apply.

(v) If the hospital meets the criteria of paragraph (c)(2) of this section, the payment adjustment factor is as follows:

(A) 30 percent for discharges occurring on or after April 1, 1990, and before October 1, 1991.

(B) 35 percent for discharges occurring on or after October 1, 1991.

                   *                 *                 *                 *                 *




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