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As noted in the CY 2025 PFS proposed rule (89 FR 61980), the reconciliation of a rebate amount, whether during a reconciliation as set forth in 428.401(d)(1) or a discretionary reconciliation as set forth in 428.401(d)(2) discussed further below, will not create a separately payable and distinct rebate amount

2020;34(10):e23618

For details on our adoption of the 10-percent cap policy, we refer readers to the FY 2023 IPPS/LTCH PPS final rule (87 FR 49152 through 49154).) For purposes of determining the MS-LTC-DRG relative weights, under our historical methodology, there are three different categories of MS-LTC-DRGs based on volume of cases within specific MS-LTC-DRGs: (1) MS-LTC-DRGs with at least 25 applicable LTCH cases in the data used to calculate the relative weight, which are each assigned a unique relative weight