Medicare Claims Processing Manual (Pub. 100-04), Ch. 3 § 20.4.4
Capital Payments in Puerto Rico
20.4.4 - Capital Payments in Puerto Rico
(Rev. 1, 10-01-03)
A3-3611.4
A special standard rate applies to Puerto Rico. It is a combination of 50 percent of the
Federal capital amount and 50 percent of the Puerto Rican capital amount. It is used in lieu
of the Federal rate to compute hold harmless and fully prospective payments for PPS
hospitals in Puerto Rico.