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Disproportionate share hospital (DSH) adjustment

March 2, 2026
This briefly identifies the two methods used to determine the disproportionate share as well as the supplementary security income updates.

Outlier payment calculation for inpatient prospective payment system (IPPS)

December 23, 2025
This defines the criteria for an outlier case and how it is computed.

Indirect medical education (IME) adjustment

February 12, 2026
This gives you the background of indirect medical education cost as well as a link to the 2015 final rule.

Cost report reopenings

December 23, 2025
This gives you the acceptance and denial criteria for a reopening.

Wage index overview

December 23, 2025
This says that the wage indexes are updated annually, based on a survey of wages and wage-related costs of short-term acute hospital cost reports.

Outpatient prospective payment system (OPPS) for hospitals and community mental health centers (CMHCs)

April 17, 2026
This gives you a brief overview of the outpatient prospective payment system reimbursement.

Determination of provider-based status

December 30, 2025
This identifies when a provider seeks a determination of provider-based status for a facility that is located on the main campus.

All inclusive payment for rural health clinics and federally qualified health centers

April 23, 2026
This gives a brief definition as to what constitutes an all inclusive payment for an RHC and an FQHC.

Medicare Advantage (MA) supplemental wrap-around payments -- reason code 37098

December 23, 2025
Medicare Advantage (MA) supplemental wrap-around payments -- reason code 37098 for federally qualified Health centers (FQHCs) that have a written contract with an MA organization.

Electronic filing requirements

December 23, 2025
Providers must file a self-extracting electronic cost report from an approved vendor that must pass all level 1 edits.
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