Substitution of Statewide CCRs for Extreme OPPS Hospital

10.11.6 - Substitution of Statewide CCRs for Extreme OPPS Hospital Specific CCRs (Rev. 1657, Issued: 12-31-08, Effective: 01-01-09, Implementation: 01-05-09) The contractors must use the applicable Statewide average urban or rural hospital default ratio if the CCR calculated for a hospital paid under OPPS is greater than the upper limit CCR in the file of overall OPPS hospital CCR limits on the CMS Web site. In addition to the circumstances listed in §§10.11.6, 10.11.5, and 10.11.4 of this chapter, a Medicare contractor also should use a Statewide average CCR if it is unable to determine an accurate overall ancillary CCR for a hospital for whom accurate data with which to calculate an operating CCR is not available. Further, the policies of §§10.11.3.1 and 10.11.3.2 can be applied as an alternative to the Statewide average. See §10.11.10 for the location of the Statewide CCRs and the upper limit above which the contractor must use the Statewide CCR.