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CMS-1403-FC
0.7000.
● A reduction of the wage index floor from 0.7500 to
A total of 56 comments were submitted under the
caption “ESRD PROVISIONS.” Eight of these comments
pertained to the proposed changes to ESRD payment related
provisions listed above. The remaining 48 comments
responded to the solicitation for public comment pertaining
to the application of preventable hospital-acquired
condition (HAC) payment provisions for IPPS hospitals in
settings other than IPPS hospitals, including ESRD
facilities. Please refer to section II.H.6. of this final
rule with comment period for a discussion of the
applicability of the HAC payment provision for IPPS
hospitals in settings other than IPPS hospitals.
The ESRD payment related comments are discussed in
detail below in this section. In addition, subsequent to
the publication of the CY 2009 PFS proposed rule, section
153 of the Medicare Improvements for Patients and Providers
Act of 2008 (MIPPA) (Pub. L. 110-275), enacted on
July 15, 2008, mandates changes in ESRD payment effective
January 1, 2009.
Section 153(a) of the MIPPA amends section
1881(b)(12)(G) of the Act to increase the composite rate
component of the payment system and amends section
163