FY 2016 IPPS NPRM: Implementation of Section 3133 of the Affordable Care Act- Medicare DSH- Supplemental Data	
	
Variable	Description
PROV	Medicare Provider Number or CMS Certification Number (CCN)
Proposed Medicaid Days	"The Hospital's Medicaid inpatient days reported on the most recently available full year or closest to a full year Medicare Hospital Cost Report, 2011 or 2012 based on the December 2014 update of the Medicare Hospital Cost Report data. Medicaid days are those that are reported for the purpose of calculating the numerator of the Medicaid fraction for Medicare DSH.  As finalized in the FY 2014 Final Rule, if the 2552-10 cost report was used, Medicaid days for DSH hospitals and SCHs were reported on Worksheet S-2. Medicaid days for non-DSH hospitals were reported on Worksheet S-3 of the 2552-10 cost report.  If 2552-96 cost report was used, Medicaid days for DSH and non DSH hospitals were reported on Worksheet S-3. As finalized in the FY 2015 IPPS Final Rule, Medicaid days for hospitals that underwent a merger are based on the Medicaid days reported for both hospitals."
Proposed Medicare SSI Days	"Medicare SSI days based on the most recently available SSI ratios, FY 2012 SSI ratios. Medicare SSI days are based on the Federal fiscal year, based on the December 2013 update of the FY 2012 MedPAR. Medicare SSI days are equivalent to the Medicare SSI days used in the calculation of the SSI ratio for Medicare DSH. The FY 2012 SSI ratios can be found here: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Downloads/FY-2012-SSI-Ratios-for-web-posting.zip As finalized in the FY 2015 IPPS Final Rule, SSI days for hospitals that underwent a merger are based on the SSI days reported for both hospitals."
Proposed Insured Low Income Days	"Sum of a hospital's Medicaid Days and Medicare SSI Days. Serves as the numerator of a hospital's Factor 3 , which is the proportion of the uncompensated care amount that a DSH hospital will receive under Section 3133 of the Affordable Care Act. "
Proposed Factor 3	"Factor 3 , the uncompensated care payment factor representing the  proportion of the uncompensated care amount that a DSH hospital will receive under Section 3133 of the Affordable Care Act.  Factor 3 is the hospital's  Medicaid days and Medicare SSI days relative to all DSH hospitals' Medicaid days and Medicare SSI days. The denominator for Factor 3 is 36,637,279 for the proposed rule, which reflects the sum of all DSH hospitals' Medicaid days and Medicare SSI days. DSH hospitals are identified as those hospitals that are projected to receive DSH for FY 2016, according to the FY 2012 SSI ratio and Medicaid fraction reported in the December 2014 update of the Provider Specific File. If a hospital listed as ineligible for DSH and the uncompensated care payment receives DSH at cost report settlement for 2016, then the hospital will receive the uncompensated care payment based on the Factor 3 listed here. "
Proposed Total Uncompensated Care Payment	"The total uncompensated care payment amount made for hospitals projected to receive DSH  for FY 2016. The uncompensated care payment will be paid on an interim per discharge basis and reconciled to the amount listed in this column at cost report settlement. ""N/A"" is listed for hospitals that are not projected to receive DSH, thus ineligible for the uncompensated care payment for FY 2016.  If a hospital listed as ineligible for DSH and the uncompensated care payment receives DSH at cost report settlement for 2016, then the hospital will receive the uncompensated care payment based on the Factor 3 listed here. "
Proposed Estimated Per Claim Amount	"Estimated per claim uncompensated care payment amount that will be paid on each claim for FY 2016. The total uncompensated care payment amount  in the FY 2016 IPPS Final Rule will be reconciled at cost report settlement with the interim estimated uncompensated care payments that are paid on a per discharge basis. Estimated per claim amount is determined by dividing the total uncompensated care payment by the average number of claims from the most recent three years of claims data (FY12-14). ""N/A"" is listed for hospitals that are not projected to receive DSH, thus ineligible for the uncompensated care payment for FY 2016."
Proposed Average Number of Claims	The average number of claims from the most recent three years of claims data (FY12-14)
Projected to Receive DSH for FY 2016	"YES' indicates that hospital is projected to receive DSH for FY 2016, thus eligible to receive the additional payment for uncompensated care. 'NO' indicates that hospital is not  projected to receive DSH for FY 2016, thus ineligible to receive the uncompensated care payment.'SCH' indicates that the hospital is a Sole Community Hospital that is both projected to be eligible for DSH (with a DPP greater than 15%) but projected to be paid under its hospital specific rate, not the Federal rate, thus projected to not be paid DSH and ineligible to receive the uncompensated care payment. However, for  hospitals identified as 'SCH', these hospitals are paid the higher of the Federal rate or hospital specific rate on an interim claim-by-claim basis and an estimated per discharge uncompensated care payment amount is listed for this calculation. The amount of the uncompensated care payment is based on their Factor 3 applied to the amount of money available. Hospitals currently listed as ineligible for DSH will receive an uncompensated care payment if they receive DSH in FY 2016, as determined at cost report settlement. If a hospital projected to not receive DSH receives DSH at cost report settlement, the hospital will receive the amount based on the application of the Factor 3 to the amount of money available. "
	
