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Hospital-Acquired Conditions (Present on Admission Indicator): Affected Hospitals

Guidance for the Present on Admission (POA) Indicator requirement and the Hospital-Acquired Conditions (HAC) payment.

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: October 03, 2019

The Present on Admission (POA) Indicator requirement and Hospital-Acquired Conditions (HAC) payment provision only apply to Inpatient Prospective Payment Systems (IPPS) Hospitals.

The following hospitals are exempt from reporting the POA Indicator and the HAC payment provision:

  1. Critical Access Hospitals (CAHs)
  2. Long-term Care Hospitals (LTCHs)
  3. Maryland Waiver Hospitals*
  4. Cancer Hospitals
  5. Children's Inpatient Facilities
  6. Religious Non-Medical Health Care Institutions
  7. Inpatient Psychiatric Hospitals
  8. Inpatient Rehabilitation Facilities
  9. Veterans Administration/Department of Defense Hospitals

*Maryland Waiver Hospitals must report the POA indicator on all claims.

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.