Outpatient Rate Processing Schedule

2012/2013 SFY

Updated 4/15/2013

  • The Outpatient Rate Processing Schedule is also available in excel format (XLS, 35KB) and PDF format (PDF, 44KB, 1PG).

Changes from Prior Schedule Highlighted in Yellow

Item Rates and Rate Period Rate Element Estimated
Completion Date
1. Hospital OPD: Reconcile to approved CMS $178M investment level
(as blend goes away Hospital OPD rate needs to decrease).
Also, finalize Emergency Room and Ambulatory Surgery base rates
based on actual CMI. 1/1/2012 Hospital OPD rates were not revised
with this item since they were revised in item #2.
Cycle 1853 with
processing correction
in cycles 1854 & 1855
01/01/12 - 12/31/12
Hospital Ambulatory Surgery:
07/01/11 - 12/31/12
Emergency Service:
04/01/11 - 6/30/11
07/01/11 - 12/31/12
2. Hospital OPD: Add full APG investment to Hospital OPD rates upon CMS approval
with reweighting. (Note: 2% ATB payment reduction is effective
4/1/11.) APG capital updates were not implemented with this
processing and will be processed at a later date.
Cycle 1853 with
processing correction
in cycles 1854 & 1855
12/01/09 - 12/31/12
01/01/10 - 06/30/10
07/01/10 - 09/30/10
10/01/10 - 12/31/10
01/01/11 - 03/31/11
04/01/11 - 06/30/11
07/01/11 - 12/31/11
01/01/12 - 12/31/12
3. DTC (Includes Dental and Renal): Add full APG investment to DTC (including renal and dental school)
rates upon CMS approval with reweighting. Includes 2% ATB
investment reduction effective 4/1/11. 1/1/2010 effective
period was not updated for Ambulatory Surgery Centers as
this update was previously published and the effective date
was posted in error. APG capital rates were updated beginning
9/1/2009 thru 12/31/2012 with this processing.
Cycle 1853 with
processing correction
in cycles 1854 & 1855
12/01/09 - 12/31/09
01/01/10 - 06/30/10
07/01/10 - 12/31/10
01/01/11 - 03/31/11
04/01/11 - 06/30/11
07/01/11 - 12/31/11
01/01/12 - 12/31/12
DTC Ambulatory Surgery:
01/01/10 - 03/31/11
04/01/11 - 12/31/12