Medicare Claims Processing Manual (Pub. 100-04), Ch. 3 § 20.4.3
Blended Payments
20.4.3 - Blended Payments
(Rev. 1, 10-01-03)
A3-3611.3
Hospitals with a FY 1990 hospital-specific rate for capital below the Federal rate are paid a
fully prospective capital rate based on a blend of their hospital-specific rate and the Federal
rate. The payment for discharges occurring during a cost-reporting period that began in FY
1992 is based on a blend of 90 percent of the hospital-specific rate and 10 percent of the
Federal rate. The payment for discharges occurring during a cost-reporting period that began
in FY 1993 is based on a blend of 80 percent of the hospital-specific rate and 20 percent of
the Federal rate. The Federal portion of the payment increases by 10 percent each year and
the hospital-specific portions decreases by 10 percent each year, culminating in payment at
100 percent of the Federal rate in the tenth year.