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Long-Term Care Hospital PPS: Training Material and Policy Fact Sheets

Guidance for providers on the Medicare Long-term Care Hospital Prospective Payment System (LTCH PPS) program and implementation.


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

Issue Date: September 23, 2020

Training Guide

The training manual has been designed to assist providers in the basic understanding of the Medicare Long-Term Care Hospital Prospective Payment System (LTCH PPS) program and implementation. Providers will receive information on features of the LTCH PPS and examples of specific policies. The training guide is divided into four chapters: LTCH PPS Overview, Payment, Clinical Issues and Billing. Although each chapter builds upon the previous chapter, each is also comprehensive enough to use for focused training if used in conjunction with the LTCH PPS Overview chapter. (See Download Section below.)

PowerPoint Presentation for Training Providers

See the Downloads section below for the PowerPoint Presentation on Long Term Care Hospital Prospective Payment System.

Fact Sheets

The LTCH fact sheets are updated annually as we revise specific policy areas.  They contain detailed descriptions and include specific examples of how to implement some of the more complicated policies such as the short-stay outlier policy and the interrupted stay policy.  They are available to our contractors, providers, and to the general public.

HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the Section 508 Help Desk.

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.