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FY 2018 PUF Release

Availability and Revisions to Wage Index PUFs

On Monday, 5/16/2016, CMS released the preliminary FY 2018 Worksheet S-3, Parts II and III wage index PUF. The FY 2018 IPPS wage index will be calculated based on Federal FY 2014 hospital cost reports; that is, cost reports with fiscal year begin (FYB) dates of on or after 10/1/2013 and on or before 9/30/2014. 

The file is available at  http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Wage-Index-Files-Items/FY2018-Wage-Index-Home-Page.html. The American Hospital Association also generally makes the wage index file available to individual state hospital associations. The file excludes hospitals designated as CAHs as of May 2016. The FY 2014 wage data will be used in the development of the proposed FY 2018 wage index, to be published in the Federal Register in Spring, 2017.

Hospitals must review the file to confirm the inclusion and accuracy of their wage index data. Hospitals may request revisions to their preliminary wage index data. As the attached FY 2018 Hospital Wage Index Development Timetable indicates, all requests from hospitals for changes to their FY 2018 wage index data must be submitted to and received by their Medicare Administrative Contractors (MACs) by 9/2/2016. A hospital that wishes to revise its data must submit its request along with complete, appropriate, detailed supporting documentation to its MAC. Requests postmarked by the 9/2/2016 deadline, but not received until after the deadline, will not be accepted. MACs must receive the revision requests and supporting documentation by this date. 

On Monday, 5/16/2016, CMS also released the preliminary FY 2018 Occupational Mix Survey Data PUF, based on the CY 2013 Occupational Mix surveys. Hospitals must review the occupational mix file to confirm the inclusion and accuracy of their data. As the attached FY 2018 Hospital Wage Index Development Timetable indicates, all requests from hospitals for changes to their FY 2018 wage index data must be submitted to and received by their MACs by 9/2/2016. A hospital that wishes to revise its data must submit its request along with complete, appropriate, detailed supporting documentation to its MAC. Requests postmarked by the 9/2/2016 deadline, but not received until after the deadline, will not be accepted.

If a hospital has not yet submitted a CY 2013 Occupational Mix Survey to its MAC, hospitals should download a spreadsheet to submit its CY 2013 Occupational Mix Survey Data to its MACs from http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Wage-Index-Files-Items/Medicare-Wage-Index-Occupational-Mix-Survey2013.html. Completed surveys, along with complete supporting documentation, shall be submitted to the MAC by 9/2/2016.

FY 2018 PUF Release
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