Notification to Hospitals Paid Under the OPPS of a Change

10.11.3.3 - Notification to Hospitals Paid Under the OPPS of a Change in the CCR (Rev. 1657, Issued: 12-31-08, Effective: 01-01-09, Implementation: 01-05-09) The Medicare contractor shall notify a hospital or CMHC whenever it makes a change to its CCR. When a CCR is changed as a result of a tentative settlement or a final settlement of the cost report, the change to the CCR can be included in the notice that is issued to each provider after a tentative or final settlement is completed. Medicare contractors can also issue separate notification to a hospital about a change to its CCR(s).