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Title 42

Displaying title 42, up to date as of 7/20/2026. Title 42 was last amended 7/20/2026.
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  1. Title 42 —Public Health
  2. Chapter IV —Centers for Medicare & Medicaid Services, Department of Health and Human Services
  3. Subchapter B —Medicare Program
  4. Part 412 —Prospective Payment Systems for Inpatient Hospital Services
  5. Subpart O   View Full Text
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eCFR Content

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Title 42Public HealthPart / Section
Chapter IVCenters for Medicare & Medicaid Services, Department of Health and Human Services400 – 699
Subchapter BMedicare Program405 – 429
Part 412Prospective Payment Systems for Inpatient Hospital Services412.1 – 412.634
Subpart OProspective Payment System for Long-Term Care Hospitals412.500 – 412.560
§ 412.500Basis and scope of subpart.
§ 412.503Definitions.
§ 412.505Conditions for payment under the prospective payment system for long-term care hospitals.
§ 412.507Limitation on charges to beneficiaries.
§ 412.508Medical review requirements.
§ 412.509Furnishing of inpatient hospital services directly or under arrangement.
§ 412.511Reporting and recordkeeping requirements.
§ 412.513Patient classification system.
§ 412.515LTC-DRG weighting factors.
§ 412.517Revision of LTC-DRG group classifications and weighting factors.
§ 412.521Basis of payment.
§ 412.522Application of site neutral payment rate.
§ 412.523Methodology for calculating the Federal prospective payment rates.
§ 412.525Adjustments to the Federal prospective payment.
§ 412.526Payment provisions for a “subclause (II)” long-term care hospital.
§ 412.529Special payment provision for short-stay outliers.
§ 412.531Special payment provisions when an interruption of a stay occurs in a long-term care hospital.
§ 412.533Transition payments.
§ 412.534Special payment provisions for long-term care hospitals-within-hospitals and satellites of long-term care hospitals, effective for discharges occurring in cost reporting periods beginning on or before September 30, 2016.
§ 412.535Publication of the Federal prospective payment rates.
§ 412.536Special payment provisions for long-term care hospitals and satellites of long-term care hospitals that discharge Medicare patients admitted from a hospital not located in the same building or on the same campus as the long-term care hospital or satellite of the long-term care hospital, effective for discharges occurring on or before September 30, 2016 or in cost reporting periods beginning on or before June 30, 2016.
§ 412.538 [Reserved]
§ 412.540Method of payment for preadmission services under the long-term care hospital prospective payment system.
§ 412.541Method of payment under the long-term care hospital prospective payment system.
§ 412.560Requirements under the Long-Term Care Hospital Quality Reporting Program (LTCH QRP).
eCFR Content