Medicare Claims Processing Manual (Pub. 100-04), Ch. 4 § 10.11.9
Methodology for Calculation of CCR for CMHCs
10.11.9 - Methodology for Calculation of CCR for CMHCs
(Rev. 10869; Issued: 07-14-21; Effective: 08-13-21; Implementation: 08-13-21)
Calculate the CMHC’s CCR using the provider’s most recent full year cost report, Form
CMS 2088-92, and Medicare cost and charges from Worksheet C, Page 2. Divide costs
from line 39.01, Column 3 by charges from line 39.02, Column 3 to calculate the CCR.
Calculate the CMHC’s CCR using the provider’s most recent full year cost report, Form CMS
2088-17, and Medicare cost and charges from Worksheet C. Divide costs from line 50, Column
5, by charges from line 50, Column 4, to calculate the CCR.
If the CCR is above 1.0 enter the appropriate Statewide average urban or rural hospital
default ratio that is in the OPSF for the CMHC. There is no lower limit for CMHC
CCRs. Use the CCR you calculate and do not substitute the Statewide average urban or
rural hospital default ratio in cases where the CCR is below 1.0.
Note that CCR reporting requirements in §10.11 apply to both hospitals paid under OPPS
and to CMHCs.