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May a state use all-payer data or the Medicare-specific data from the Medicare Hospital Cost Report (CMS Form 2552) to calculate the cost-to-charge ratios?

Yes, a state may choose between using all-payer data or Medicare-specific data from the Medicare Hospital Cost Report (CMS Form 2552) to determine the cost-to-charge ratios.
Date
Topic
Upper Payment Limit (UPL)
Demonstrating the UPL
Sub Topic
Medicare vs All-Payer Data
FAQ ID
92406
FAQ Page
Upper Payment Limit FAQs
FAQ Question
May a state use all-payer data or the Medicare-specific data from the Medicare Hospital Cost Report (CMS Form 2552) to calculate the cost-to-charge ratios?