CMS Transmittal 16 to the Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10
The Hospital Complex, 2552-10 was updated to Transmittal 16 by CMS, on April 30, 2020. Transmittal 16 is effective for cost reporting periods ending on or after December 31, 2019.
The primary purpose of Transmittal 16 was to incorporate cost reporting changes for the Pennsylvania Rural Health Model (PARHM) demonstration. Other major changes include:
- Modification of Worksheet E-4 to accommodate DGME reimbursement for CAHs that train residents in excluded IPF or IRF units.
- Modification to the calculation of the percentage reduction of the MA direct GME payments for the calculation of the MA nursing and allied health (NAHE) payment adjustments. The reductions will be changed on an annual basis using the below factors, previously the reduction factor was 14.13%
| CY | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 |
| Percent reduction to
MA DGME |
9.77 | 7.85 | 7.16 | 6.41 | 5.86 | 5.32 | 4.99 | 4.44 | 7.00 |
As this Transmittal is effective for cost reporting periods ending on or after December 31, 2019, it does not incorporate any changes relating to COVID-19 pandemic cost reporting changes.
CMS has not yet started the test/approval process, however, HFS expects T16 software to be approved and available for use in June. Preparation can continue on the current T15 software and will be compatible with the T16 update when made. CMS is encouraging providers to wait for T16 software availability to submit their MCR’s. The published T-16 transmittal can be found on CMS’ website at the link below:
https://www.cms.gov/regulations-and-guidanceguidancetransmittals2020-transmittals/r16p240