Alert detail

CMS Transmittal R13877OTN: Expansion of the Supplemental Security Income (SSI) Ratio on the Inpatient Provider Specific…

Policy ID: CMS-T-R13877OTNSpecialty: Inpatient (IPPS)Added: 7/17/2026Effective: 2027-07-04transmittal
High

What changed

CMS expands SSI ratio methodology impacting inpatient DSH payments.

Who’s affected: Inpatient (IPPS) billing teams · Effective: 2027-07-04

Primary source: View the official CMS/MAC document ↗

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