--- title: Final Action - Treatment of Part C Days in Medicare DSH Calculation for FFY 2005 through FFY 2013 description: CMS will publish its Final Action regarding the treatment of Part C days in the Medicare DSH calculation for FFY 2005 through FFY 2013. image: https://public.govdataservices.com/hubfs/Background%20image%20with%20media%20screen.%20Diagrams%20and%20graphs.jpeg --- [Skip to content](https://public.govdataservices.com/the-scoop/final-action-treatment-of-part-c-days-in-medicare-dsh-calculation-for-ffy-2005-through-ffy-2013#main-content) Close - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) SEARCH [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) [![GDSlogo\_avenir\_2](https://public.govdataservices.com/hs-fs/hubfs/GDSlogo_avenir_2.png?width=1194&height=340&name=GDSlogo_avenir_2.png)](https://public.govdataservices.com/) - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) [Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano) Jun 8, 2023, 11:45:05 AM 1 min read # Final Action - Treatment of Part C Days in Medicare DSH Calculation for FFY 2005 through FFY 2013 [Previous](https://public.govdataservices.com/the-scoop/cms-temporarily-disabled-access-to-patient-level-ssi-data) [Next](https://public.govdataservices.com/the-scoop/remedy-for-the-340b-acquired-drug-payment-policy-for-calendar-years-2018-2022) On June 9, 2023, CMS will publish its Final Action regarding the treatment of Part C days in the Medicare DSH calculation in resolution of *Allina II*.    CMS will issue NPR's that count Part C days in the Medicare Fraction of the DPP calculation. CMS finds support for its position that Part C days are covered days for which beneficiaries are entitled to Part A benefits in the recent *Empire* decision which permitted CMS to consider unpaid Medicare days as entitled to Part A and count them in the Medicare Fraction of the [DPP calculation](https://public.govdataservices.com/medicare-dsh).   This Final Action addresses the treatment of Part C day for FFY 2005 through FFY 2013.  CMS justifies this retroactive rule using the same logic as was used in the February 1, 2023, RADV Rule which was also retroactive. "Retroactive rulemaking is authorized only when the Secretary determines that retroactive application: (1) is necessary to comply with statutory requirements; or (2) that a failure to do so would be contrary to the public interest."   According to the Final Action, providers will be able to appeal from those NPR's. The unpublished version is currently available at [2023-12308.pdf (federalregister.gov)](https://public-inspection.federalregister.gov/2023-12308.pdf). ![avatar](https://public.govdataservices.com/hs-fs/hubfs/chriscusimano.jpg?width=290&name=chriscusimano.jpg) #### [Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano) ## RELATED ARTICLES ### [Chris Cusimano Feb 24, 2023, 3:00:00 PM \< 1 min read FFY 2021 SSI File for IPPS hospitals Today, February 24, 2023, CMS released the FFY 2021 SSI File for IPPS hospitals. This is the value to be used in the Medicare ... Start Reading](https://public.govdataservices.com/the-scoop/ffy-2021-ssi-file-for-ipps-hospitals) ### [Chris Cusimano Aug 4, 2025, 1:54:20 PM 1 min read CMS FFY 2026 Psychiatric Final Rule On July 31, 2025, CMS issued the FFY 2025 Inpatient Psychiatric Facilities (IPF) Prospective Payment System and Quality ... Start Reading](https://public.govdataservices.com/the-scoop/cms-ffy-2026-psychiatric-final-rule) ### [Chris Cusimano Aug 4, 2025, 2:05:47 PM 1 min read CMS FFY 2026 Rehabilitation Final Rule On August 1, 2025, CMS issued the FFY 2026 Inpatient Rehabilitation Facility (IRF) Prospective Payment System Final Rule ... Start Reading](https://public.govdataservices.com/the-scoop/cms-ffy-2026-rehabilitation-final-rule) [![gds-logo-1](https://public.govdataservices.com/hs-fs/hubfs/gds-logo-1.png?width=500&height=150&name=gds-logo-1.png)](https://public.govdataservices.com/) **Get in Touch** Government Data Services 3200 W. 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All rights reserved - [Site Use Agreement](https://public.govdataservices.com/terms-of-use) - [Confidentiality and Privacy](https://public.govdataservices.com/privacy) ```json { "@context" : "http://schema.org", "@type" : "Organization", "knowsLanguage" : "en", "name" : "", "url" : "https://public.govdataservices.com/the-scoop/final-action-treatment-of-part-c-days-in-medicare-dsh-calculation-for-ffy-2005-through-ffy-2013" } ``` ```json { "@context" : "http://schema.org", "@type" : "BlogPosting", "abstract" : "CMS will publish its Final Action regarding the treatment of Part C days in the Medicare DSH calculation for FFY 2005 through FFY 2013.", "author" : { "@type" : "Person", "name" : "Chris Cusimano" }, "dateModified" : "November 28, 2023 4 AM", "datePublished" : "June 8, 2023 3 PM", "headline" : "Final Action - Treatment of Part C Days in Medicare DSH Calculation for FFY 2005 through FFY 2013", "image" : "https://21378692.fs1.hubspotusercontent-na1.net/hubfs/21378692/Background%20image%20with%20media%20screen.%20Diagrams%20and%20graphs.jpeg", "inLanguage" : "en", "keywords" : "[Legal News, Disproportionate Share Hospital (DSH), Medicare Cost Report]", "mainEntityOfPage" : { "@type" : "WebPage" }, "name" : "Final Action - Treatment of Part C Days in Medicare DSH Calculation for FFY 2005 through FFY 2013", "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "" }, "name" : "" }, "text" : "On June 9, 2023, CMS will publish its Final Action regarding the treatment of Part C days in the Medicare DSH calculation in resolution of Allina II. CMS will issue NPR's that count Part C days in the Medicare Fraction of the DPP calculation. CMS finds support for its position that Part C days are covered days for which beneficiaries are entitled to Part A benefits in the recent Empire decision which permitted CMS to consider unpaid Medicare days as entitled to Part A and count them in the Medicare Fraction of the DPP calculation. This Final Action addresses the treatment of Part C day for FFY 2005 through FFY 2013. CMS justifies this retroactive rule using the same logic as was used in the February 1, 2023, RADV Rule which was also retroactive. \"Retroactive rulemaking is authorized only when the Secretary determines that retroactive application: (1) is necessary to comply with statutory requirements; or (2) that a failure to do so would be contrary to the public interest.\" According to the Final Action, providers will be able to appeal from those NPR's. The unpublished version is currently available at 2023-12308.pdf (federalregister.gov).", "url" : "https://public.govdataservices.com/the-scoop/final-action-treatment-of-part-c-days-in-medicare-dsh-calculation-for-ffy-2005-through-ffy-2013", "wordCount" : "355" } ``` ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Chris Cusimano", "url" : "https://public.govdataservices.com/the-scoop/author/chris-cusimano" }, "dateModified" : "2023-11-28T04:13:21.068Z", "datePublished" : "2023-06-08T15:45:05.000Z", "headline" : "Final Action - Treatment of Part C Days in Medicare DSH Calculation for FFY 2005 through FFY 2013", "image" : [ "https://public.govdataservices.com/hubfs/Background%20image%20with%20media%20screen.%20Diagrams%20and%20graphs.jpeg" ], "mainEntityOfPage" : { "@id" : "https://public.govdataservices.com/the-scoop/final-action-treatment-of-part-c-days-in-medicare-dsh-calculation-for-ffy-2005-through-ffy-2013", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject" } } } ```