Long-Term Care Hospital (LTCH) PPS Expanded Modified MEDPAR

The Medicare Provider Analysis and Review (MEDPAR) file contains records for 100% of Medicare beneficiaries who received hospital inpatient services at a LTCH as defined in Sections 1886(d)(1)(B)(iv) and 1861(ccc) of the Social Security Act. The file contains same data elements found in the National Hospital MEDPAR Limited Data Set (LDS), including the billed Diagnosis-Related Group (DRG), the current DRG and the proposed/final DRG. The records are stripped of most data elements that will permit identification of beneficiaries. The six position Medicare billing number identifies the LTCH. The file is available to persons qualifying under the terms of the Routine Use Act as outlined in the December 24, 1984, "Federal Register" and amended by the July 2, 1985, Notice. This file consists of between  approximately 130,000 and 140,000 records.

1.  The Notice of Proposed Rule Making (NPRM), which contains the proposed annual LTC-DRG update, is published in the "Federal Register" usually available in April.  This file is derived from the MEDPAR file with a cutoff of three months after the end of the fiscal year (December file).

2.  The Final Rule, which contains the annual LTC-DRG update, is published in the "Federal Register" usually by the first week of August. This file is derived from the MEDPAR file with a cutoff of six months after the end of the fiscal year (March file).

Media: DVD
Cost: $100

Data Format:  Comma separated variable block (CSV) with SAS® read-in program
Available: FY 2004 - FY 2010

To browse the record layout, see the Downloads section below.

Instructions on How to Request LDS Data Files in the Related Links Inside CMS section below.