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FY 2022 PUF Release

Availability and Revisions to Wage Index PUF

On Monday, 5/18/2020, CMS released the preliminary FY 2022 Worksheet S-3, Parts II and III wage index PUF. The FY 2022 IPPS wage index will be calculated based on Federal FY 2018 hospital cost reports; that is, cost reports with FYB dates of on or after 10/1/2017 and on or before 9/30/2018. 

The PUF is available on the FY 2022 Wage Index Home Page on the CMS website. The American Hospital Association also generally makes the wage index PUF available to individual State hospital associations. The FY 2018 wage data will be used in the development of the proposed FY 2022 wage index, to be published in the Federal Register in Spring, 2021.

Hospitals must review the file to confirm the inclusion and accuracy of their wage index.  Hospitals may request revisions to their preliminary data. As the attached FY 2022 Hospital Wage Index Development Timetable indicates, all requests from hospitals for changes to their FY 2022 wage index data must be submitted to and received by their MAC by 9/3/2020. A hospital that wishes to revise its wage index data must submit its request along with complete, appropriate, detailed supporting documentation to its MAC. Requests postmarked by the 9/3/2020 deadline, but not received until after the deadline, will not be accepted. MACs must receive the revision requests and supporting documentation by this date. 

CY 2019 Medicare Occupational Mix Survey Submission

Section 1886(d) (3) (E) of the Social Security Act requires CMS to collect data every three years on the occupational mix of employees for each short-term, acute care hospital participating in the Medicare program, in order to construct an occupational mix adjustment to the wage index. On 9/11/2019, CMS published a notice in the Federal Register (84 FR 47959- 47960) announcing a new occupational mix survey. The new survey provides for the collection of hospital-specific wages and hours data for CY 2019 (that is, payroll periods ending between 1/1/2019 and 12/31/2019). The CY 2019 Medicare occupational mix survey will be applied for three years beginning with the FY 2022 wage index, and for the FY 2023 and FY 2024 wage indexes as well.

Originally, the deadline to submit the CY 2019 occupational mix surveys to your MAC was 7/1/2020. However, due to the COVID-19 Public Health Emergency, the submission date is delayed until COB 8/3/2020. Hospitals must complete the CY 2019 occupational mix surveys and submit them on the Hospital Reporting Form, CMS 10079, to their MACs by 8/3/2020, via email attachment or overnight delivery.

The CY 2019 Medicare occupational mix survey and instructions for hospitals can be found on the Wage Index Files page on the CMS website.

Hospitals must have at least 11 months of CY 2019 data in order for the data to reflect seasonal variations in staffing levels; if the hospital does not have at least 11 months of CY 2019 data (e.g., due to a change of ownership or because it is a new hospital with a short reporting period), the hospital should not submit CY 2019 occupational mix data to its MAC.

CMS expects to post the CY 2019 occupational mix survey data as a PUF on its website on or about August 6, 2020.  Hospitals must review the file to confirm the inclusion and accuracy of their occupational mix data.  Hospitals may request revisions to their preliminary data.  As the attached FY 2022 Hospital Wage Index Development Timetable indicates, all requests from hospitals for changes to their FY 2022 occupational mix data must be submitted to and received by their MACs by 9/3/2020. A hospital that wishes to revise its occupational mix data must submit its request along with complete, appropriate, detailed supporting documentation to its MAC. Requests postmarked by the 9/3/2020 deadline, but not received until after the deadline, will not be accepted. MACs must receive the revision requests and supporting documentation by this date. 

FY 2022 PUF Release
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