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Policy Areas

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The Centers for Medicare and Medicaid Services (CMS) identified an error in the patient counts for each inpatient rehabilitation facility patient assessment instrument (IRF-PAI) measure in the March 2022 provider preview reports (which were originally issued on April 13, 2022) related to the June 2022 refresh of IRF quality data on CMS Care Compare. CMS has updated the report to apply the COVID-19 reporting exceptions to only exclude stays that occurred in Quarter 1 (Q1) and Quarter 2 (Q2) of 2020. The March 2022 provider preview reports are currently available for review until May 27, 2022. Questions about the reports should be sent by email.

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ODP Announcement 22-052 announces that the Office of Developmental Programs (ODP) is prepared to begin making Gross Adjustments to providers for the ODP waiver services billed at old fee schedule rates during the months of January and February 2022. It is their intention to do one Gross Adjustment per MPI, which will be applied to the provider’s highest billing service location.

Please complete a brief survey to advise ODP of the status of your January and February billing. The link to the QuestionPro survey can be found here. The survey will remain open until May 15.

  • If your January and February billing was complete as of May 1, 2022, ODP will process the Gross Adjustment during May.
  • If your January and February billing was not completed by May 1, 2022, ODP will wait until June to process the Gross Adjustment.
  • If ODP does not receive your response to the QuestionPro survey, they will process your Gross Adjustment in June.
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