Home > Cost Report News > CMS issues Transmittal 9 to the Provider Cost Reporting Forms and Instructions, Chapter 40 Form CMS-2552-10

CMS issues Transmittal 9 to the Provider Cost Reporting Forms and Instructions, Chapter 40 Form CMS-2552-10

The Hospital, 2552-10 was updated to Transmittal 9 by CMS, on March 18, 2016. Transmittal 9 is effective for cost reporting periods beginning on or after October 1, 2015.

Significant Transmittal 9 changes include:

  • Addition of Worksheet S-2, Part I, line 37.01 and instructional changes to Worksheet E, Part A, to implement special payment provisions for Medicare-Dependent, Small Rural Hospitals (MDH) eligible for transitional hospital-specific payments. The November 13, 2015, Outpatient PPS Final Rule identified 8 MDH hospitals that were re-designated as Urban based on the adoption, of the new OMB delineations, however did not qualify to apply for rural status.  These hospitals will qualify for a transitional HSP payment as follows:

o    Discharges 1/1/2016 – 9/30/2016 – Federal rate plus two-thirds of 75% of the amount by which the Federal rate payments is exceeded by the HSR

o    Discharges 10/1/2016 – 9/30/2017 – Federal rate plus one-third of 75% of the amount by which the Federal rate payments is exceeded by the HSR

  • Worksheet S-2, Part I, line 122 was added to identify cost reports that contain “state health or similar taxes” and the location of those taxes on Worksheet A.

HFS is reviewing the changes and will submit a revised system for approval when a CMS test case is available.  Transmittal 9 will not be required for full cost reporting periods ending 12/31/2015.

The full Transmittal is available at the CMS website:

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2016-Transmittals-Items/R9P240.html?DLPage=1&DLEntries=10&DLSort=1&DLSortDir=descending

If you have any questions, please contact Eric Swanson at eric@hfssoft.com.

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