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Last Modified: 12/3/2020 Location: FL, PR, USVI Business: Part A

CMS posts preliminary FY 2021 wage index PUF availability and timeline


For fiscal year (FY) 2021, the Centers for Medicare & Medicaid Services (CMS) have issued the wage index development timetable. The wage index development process starts in May with the posting of the preliminary worksheet S-3 PUF.
The FY 2021 IPPS wage index will be calculated based on Federal FY 2017 hospital cost reports; that is, cost reports with fiscal year begin (FYB) dates of on or after October 1, 2016 and on or before September 30, 2017. As part of the posting of the FY 2021 preliminary wage index PUFs, CMS also posted the CY 2016 Occupational Mix survey data. (This occupational mix file that CMS posted is also the latest available survey data that is being used for the FY 2020 wage index).The following are links to the final FY 2021 wage index PUF availability and timeline.

March 27, 2020 – COVID-19 Update

The deadline for hospitals to appeal the FY 2021 wage index is April 2, 2021. Hospitals may submit an appeal if they disagree with their Medicare Administrative Contractor’s (MAC) determination concerning the development of the wage index, and they would like to request CMS’ intervention.
The FY 2021 Hospital Wage Index Development Timetable (attach the PDF) CMS requires hospitals to submit both an electronic copy and a hard copy of their appeal requests to CMS and their MAC by April 2, 2020. However, to accommodate hospital staff who is working on urgent matters related to COVID-19, CMS has announced they will not require hospitals to submit hard copies of their appeal requests for the FY 2021 wage index. A hospitals needs only to submit an electronic copy of their appeal request to CMS and their MAC by April 2, 2020.
Hospitals may send their appeals electronically to Email files shall not exceed 20 megabytes. To comply with the size limit for larger files, hospitals may either send their appeals with attachments in separate emails, or use a Dropbox download service and include the link to the Dropbox in the email to CMS and the MAC. Note: If sending separate emails, include a note in the subject line indicating the number of emails that will be sent (e.g., “sending 1 of 3,” “sending 2 of 3,” “sending 3 of 3,” etc.).
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.