Prospective Payment Changes for Fiscal Year (FY) 2004 and

20.3.4 – Prospective Payment Changes for Fiscal Year (FY) 2004 and Beyond (Rev. 3431, Issued: 12-29-15, Effective: 10-01-15, Implementation: 10-05-15) The IPPS changes for FY 2004 were published in the Federal Register on August 1, 2003. All changes are effective for hospital discharges occurring on or after October 1, 2003. Additional changes were listed in a Correction Notice to the Federal Register on October 6, 2003, and a One Time Notification (Pub. 100-20, Transmittal 16, published on October 31, 2003). Fiscal year changes to the inpatient prospective payment system occur every October. Specific instructions will be published shortly after the publication of the IPPS Final Rule each year. In addition, other changes to the inpatient prospective payment system may occur in January, April or July as necessary.