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Method of Payment and Cost Settlement for Inpatient Services for Hospitals Participating under the Rural Community Hospital Demonstration

This memorandum provides the payment methodology for Round 4 of the demonstration, the list of participating hospitals, the periods of performance for all hospitals, the methodology for establishing enhanced interim payments and conducting final cost report settlements, and requirements for the MACs with regard to collaborating with a separate audit contractor.

Download the Guidance Document


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

Issue Date: January 27, 2022

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.